Reverse Takotsubo Cardiomyopathy following Exogenous Epinephrine Administration in the Early Postpartum Period

Dan Belliveau; Sabe De

doi:10.1111/echo.13219

Reverse Takotsubo Cardiomyopathy following Exogenous Epinephrine Administration in the Early Postpartum Period

Echocardiography. 2016 Jul;33(7):1089-1091. doi: 10.1111/echo.13219. Epub 2016 Mar 27.

Authors

Dan Belliveau¹, Sabe De²

Affiliations

¹ Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
² Division of Cardiology, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.

PMID: 27018194
DOI: 10.1111/echo.13219

Abstract

Takotsubo cardiomyopathy (TCM) is typically triggered by stress and can often mimic acute myocardial infarction. It is typically characterized by ballooning of the apex of the left ventricle following emotional or physical stress. Reverse TCM is a rare variant in which the cardiac apex is hyperkinetic and ballooning occurs at the base of the heart. We present a case of reverse TCM in the immediate postpartum period following an injection of local epinephrine, followed by spontaneous resolution within 24 hours.

Keywords: heart failure; takotsubo cardiomyopathy.

Publication types

Case Reports