Takotsubo cardiomyopathy triggered by delirium tremens in a cirrhotic patient with acute-on-chronic liver failure: A case report

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TitreTakotsubo cardiomyopathy triggered by delirium tremens in a cirrhotic patient with acute-on-chronic liver failure: A case report
Type de publicationJournal Article
Year of Publication2020
AuteursHedjoudje A, Cervoni J-P, Patry C, Chatot M, Faivre M, Thevenot T
JournalCLINICS AND RESEARCH IN HEPATOLOGY AND GASTROENTEROLOGY
Volume44
PaginationE54-E58
Date PublishedJUN
Type of ArticleArticle
ISSN2210-7401
Mots-clésAlcohol 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.

DOI10.1016/j.clinre.2019.11.010