Takotsubo cardiomyopathy triggered by delirium tremens in a cirrhotic patient with acute-on-chronic liver failure: A case report
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Titre | Takotsubo cardiomyopathy triggered by delirium tremens in a cirrhotic patient with acute-on-chronic liver failure: A case report |
Type de publication | Journal Article |
Year of Publication | 2020 |
Auteurs | Hedjoudje A, Cervoni J-P, Patry C, Chatot M, Faivre M, Thevenot T |
Journal | CLINICS AND RESEARCH IN HEPATOLOGY AND GASTROENTEROLOGY |
Volume | 44 |
Pagination | E54-E58 |
Date Published | JUN |
Type of Article | Article |
ISSN | 2210-7401 |
Mots-clés | Alcohol withdrawal, Autonomic Hyperactivity, case report, Delirium tremens, Liver cirrhosis, Stress-induced cardiomyopathy, Takotsubo cardiomyopathy, Transient apical ballooning |
Résumé | A 64-year-old cirrhotic woman was admitted for alcoholic hepatitis associated with renal failure. Subsequently, she displayed symptoms of alcohol withdrawal progressing to delirium tremens. During hospitalization, she developed acute respiratory distress. The electro-cardiogram showed diffuse anteroseptal ST elevation. Transthoracic echocardiography revealed systolic left ventricular apical balloon-like dilation, hypokinesis of the left ventricular mid- and apical segments, and a left ventricular ejection fraction of 30%. Coronary angiography w as normal and led to the diagnosis of Takotsubo cardiomyopathy. This report describes a singular case of Takotsubo cardiomyopathy precipitated by delirium tremens in a cirrhotic patient with acute-on-chronic liver failure . (C) 2019 Published by Elsevier Masson SAS. |
DOI | 10.1016/j.clinre.2019.11.010 |