John Yeh1, James Carroll2. 1. Institute of Surgery, Townsville Hospital and Health Service, 100 Angus Smith Drive, Douglas, Townsville, QLD, 4814, Australia. chia-han.yeh@health.qld.gov.au. 2. Institute of Surgery, Townsville Hospital and Health Service, 100 Angus Smith Drive, Douglas, Townsville, QLD, 4814, Australia.
Abstract
BACKGROUND: Acute pancreatitis as a trigger of Takotsubo cardiomyopathy has been infrequently described in the literature. Misdiagnosis of this phenomenon can often occur due to overlap in symptomology, particularly in those outside of the usual patient demographic. CASE PRESENTATION: A 27-year-old man with a history of alcohol abuse presented with epigastric and chest pain. Electrocardiography showed ischemic changes, and laboratory workup revealed elevated lipase and troponin. He was diagnosed with acute pancreatitis and managed presumptively as acute coronary syndrome. Subsequent coronary angiography was negative for obstructive coronary artery disease, and left ventriculography demonstrated basal hyperkinesis and apical akinesis, characteristic of Takotsubo cardiomyopathy. CONCLUSIONS: Takotsubo cardiomyopathy is a rare complication of acute pancreatitis. Increased awareness of this phenomenon is required to prevent delays in diagnosis and avoid unnecessary interventions and complications.
BACKGROUND:Acute pancreatitis as a trigger of Takotsubo cardiomyopathy has been infrequently described in the literature. Misdiagnosis of this phenomenon can often occur due to overlap in symptomology, particularly in those outside of the usual patient demographic. CASE PRESENTATION:A 27-year-old man with a history of alcohol abuse presented with epigastric and chest pain. Electrocardiography showed ischemic changes, and laboratory workup revealed elevated lipase and troponin. He was diagnosed with acute pancreatitis and managed presumptively as acute coronary syndrome. Subsequent coronary angiography was negative for obstructive coronary artery disease, and left ventriculography demonstrated basal hyperkinesis and apical akinesis, characteristic of Takotsubo cardiomyopathy. CONCLUSIONS:Takotsubo cardiomyopathy is a rare complication of acute pancreatitis. Increased awareness of this phenomenon is required to prevent delays in diagnosis and avoid unnecessary interventions and complications.
Entities:
Keywords:
Acute alcoholic pancreatitis; Case report; Takotsubo cardiomyopathy
Authors: Derek P Chew; Ian A Scott; Louise Cullen; John K French; Tom G Briffa; Philip A Tideman; Stephen Woodruffe; Alistair Kerr; Maree Branagan; Philip E G Aylward Journal: Heart Lung Circ Date: 2016-06-16 Impact factor: 2.975