A CASE OF TAKOTSUBO SYNDROME PRECIPITATED BY DIABETIC KETOACIDOSIS

Authors

  • Anawin T. Kitpowsong Edward Via College of Osteopathic Medicine, Monroe, LA, USA https://orcid.org/0009-0006-2927-5907
  • Haris Muhammad Department of Internal Medicine, Englewood Health/Hackensack University, Englewood, NJ, USA.
  • Sarah Aftab Ahmad Section of Cardiothoracic Surgery, St. Francis Medical Center, Monroe, LA, USA
  • Lovely Chhabra Section of Cardiology, Westchester Medical Center Network Advanced Physician Services, New York, NY, USA
  • Nauman Khalid Section of Interventional Cardiology, St. Francis Medical Center, Monroe, LA, USA.

DOI:

https://doi.org/10.55519/JAMC-04-12307

Keywords:

Takotsubo syndrome, Diabetic ketoacidosis

Abstract

Takotsubo syndrome (TTS), Takotsubo cardiomyopathy, or stress-induced cardiomyopathy are interchangeable terms characterized by transient left ventricular systolic dysfunction, electrocardiographic changes, and cardiac biomarker elevation similar to acute coronary syndrome (ACS), without the presence of obstructive epicardial coronary artery disease. It predominantly affects postmenopausal females and manifests in the presence of stressful triggers such as severe physical or emotional stress, natural disasters, unexpected death of relatives, acute medical illnesses, etc. TTS was initially considered to be a benign condition however recent studies have shown that it may be associated with complications and mortality similar to ACS. Rare reports of TTS triggered by diabetic ketoacidosis (DKA) have been published. Herein we describe a case of an elderly female with a history of type II diabetes mellitus (DM) who was admitted with DKA and subsequently developed TTS that resolved after treatment of DKA and implementation of heart failure therapies.

Author Biographies

Anawin T. Kitpowsong, Edward Via College of Osteopathic Medicine, Monroe, LA, USA

Medical Student

Haris Muhammad, Department of Internal Medicine, Englewood Health/Hackensack University, Englewood, NJ, USA.

Resident Physician

Sarah Aftab Ahmad, Section of Cardiothoracic Surgery, St. Francis Medical Center, Monroe, LA, USA

Cardiothoracic Surgeon

Lovely Chhabra, Section of Cardiology, Westchester Medical Center Network Advanced Physician Services, New York, NY, USA

Interventional Cardiologist

Nauman Khalid, Section of Interventional Cardiology, St. Francis Medical Center, Monroe, LA, USA.

Interventional Cardiologist

References

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Additional Files

Published

2023-12-23

Issue

Vol. 35 No. 4 (2023): JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD

Section

CASE REPORT

License

Copyright (c) 2023 Anawin T. Kitpowsong, Haris Muhammad, Sarah Aftab Ahmad, Lovely Chhabra, Nauman Khalid

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