Tako-tsubo cardiomyopathy precipitated by alcohol withdrawal

Cardiol J. 2012;19(1):81-5. doi: 10.5603/cj.2012.0013.

Abstract

A 57 year-old woman with no history of cardiac disease presented to the emergency department with confusion and seizures secondary to alcohol withdrawal. Elevated troponin levels and an electrocardiogram demonstrating global T-wave inversions prompted coronary angiography, which revealed coronary vessels free of significant disease. An echocardiogram showed both hypokinesis of the left-ventricular mid-segments with apical involvement and a hyperkinetic base consistent with tako-tsubo cardiomyopathy (TCM). Several clinical conditions have been reported as triggers of TCM. We report a case of TCM in a post-menopausal woman that was precipitated by alcohol withdrawal.

Publication types

  • Case Reports

MeSH terms

  • Alcohol Withdrawal Delirium / diagnosis
  • Alcohol Withdrawal Delirium / etiology*
  • Alcohol Withdrawal Delirium / therapy
  • Alcohol Withdrawal Seizures / diagnosis
  • Alcohol Withdrawal Seizures / etiology*
  • Alcohol Withdrawal Seizures / therapy
  • Alcoholism / complications*
  • Coronary Angiography
  • Echocardiography
  • Electrocardiography
  • Female
  • Humans
  • Middle Aged
  • Takotsubo Cardiomyopathy / diagnosis
  • Takotsubo Cardiomyopathy / etiology*
  • Takotsubo Cardiomyopathy / physiopathology
  • Takotsubo Cardiomyopathy / therapy