Tako-tsubo cardiomyopathy after administration of ergometrine following elective caesarean delivery: a case reportReport as inadecuate




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Journal of Medical Case Reports

, 4:280

First Online: 20 August 2010Received: 02 November 2009Accepted: 20 August 2010DOI: 10.1186-1752-1947-4-280

Cite this article as: Keskin, A., Winkler, R., Mark, B. et al. J Med Case Reports 2010 4: 280. doi:10.1186-1752-1947-4-280

Abstract

IntroductionTako-tsubo cardiomyopathy stress-induced cardiomyopathy or transient left ventricular ballooning is characterized by clinical suspicion of an acute myocardial infarction with transient apical or midventricular dyskinesia of the left ventricle without significant coronary stenosis on angiography. The etiology of this disease remains obscure. One of the possible causes is myocardial ischemia induced by coronary vasospasm due to sympathetic activation. It has been hypothesized that the application of ergometrine could induce tako-tsubo cardiomyopathy.

Case presentationWe report the case of a 28-year-old Turkish woman who developed tako-tsubo cardiomyopathy after administration of ergometrine for release of placenta and prevention of bleeding during the post-partum phase in the course of an elective caesarean delivery. Tako-tsubo cardiomyopathy was diagnosed by echocardiography and urgent cardiac magnetic resonance imaging. A coronary angiography was not performed because of the absence of myocardial necrosis or ischemia and signs of myocarditis on cardiac magnetic resonance imaging.

ConclusionThis life-threatening disease should be excluded in the differential diagnosis by comparing the symptoms with those of typical heart failure, particularly after use of ergometrine.

AbbreviationsCMPcardiomyopathy

CMRcardiac magnetic resonance

ECGelectrocardiography

PPCMperipartum cardiomyopathy

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-4-280 contains supplementary material, which is available to authorized users.

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Author: Abdulgazi Keskin - Ralph Winkler - Bernd Mark - Andreas Kilkowski - Timm Bauer - Oliver Koeth - Selcan Camci - Bernd Corne

Source: https://link.springer.com/







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