• Am. J. Med. Sci. · Aug 2021

    Review Case Reports

    When too many hits breaks the heart: A case of Radiation Induced Takotsubo Cardiomyopathy.

    • Nisha Giyanani and Sumit Som.
    • Department of Internal Medicine, Atlantic Health System, Morristown, NJ, USA. Electronic address: Nisha.giyanani@atlantichealth.org.
    • Am. J. Med. Sci. 2021 Aug 1; 362 (2): 215-219.

    AbstractTakotsubo cardiomyopathy (TCM), or stress induced cardiomyopathy is being increasingly recognized as a cause of acute heart failure. Often seen in women and older individuals with acute stressors, it can cause significant hemodynamic compromise. Here we report a case of a 78 year old woman who developed sudden chest pain following radiation therapy for B-Cell lymphoma. Echocardiogram revealed newly reduced ejection fraction and cardiac catheterization showed non obstructive coronary disease. Left ventriculogram revealed apical ballooning, characteristic of TCM. Often linked to physical and emotional stressors, TCM has been found to be more prevalent in patients with malignancies.Copyright © 2021 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.

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