Takotsubo Cardiomyopathy: Broken Heart Syndrome in A Tertiary Teaching & Referral Hospital in East Africa: Case Report & Literature Review

Authors

  • Dr. Adegu William Department of Plastic, Reconstructive & Aesthetic Surgery, University of Nairobi, Nairobi, Kenya
  • Dr. Kevin Chesoni Department of Plastic, Reconstructive & Aesthetic Surgery, University of Nairobi, Nairobi, Kenya
  • Dr. Donald Madekwe Department of Plastic, Reconstructive & Aesthetic Surgery, University of Nairobi, Nairobi, Kenya
  • Dr. Aluora Kenneth Kenyatta National Hospital, Kenya
  • Dr. Benjamin Wabwire Kenyatta National Hospital, Kenya
  • Prof. Khainga Stanley Department of Plastic, Reconstructive & Aesthetic Surgery, University of Nairobi, Nairobi, Kenya
  • Dr. Nang'ole Ferdinand Department of Plastic, Reconstructive & Aesthetic Surgery, University of Nairobi, Nairobi, Kenya

DOI:

https://doi.org/10.47672/ajhmn.1574

Keywords:

Takotsubo Cardiomyopathy, Akinesia, Broken Heart Syndrome, Thrombi

Abstract

Purpose: Takotsubo cardiomyopathy (TC), also known as broken heart syndrome, refers to an abrupt and short-lived cardiac syndrome that encompasses dramatic left ventricular apical akinesia. besides mirroring acute coronary syndrome. Patients with Takotsubo cardiomyopathy (broken heart syndrome) usually present with symptoms that are similar to acute coronary syndrome. The patient commonly presents with chest pain, dyspnea, palpitation, nausea and vomiting, syncope as well as cardiogenic shock.  However, Takotsubo cardiomyopathy usually occurs in association with a preceding physical or emotional stressful event.

Methodology: A 25-year-old black female presented to the largest teaching & referral hospital in Kenya with chest pain, dyspnea, palpitations, nausea and vomiting. The patient was received in the emergency room where she was stabilized, a battery of investigations ordered and a diagnosis of TC was made after reviewing the results. She was managed as an inpatient on appropriate medication

Findings: Patient generally responded positively to the treatment and tolerated well the surgical procedures.  Follow up echocardiograms performed weekly revealed progressive reduction in size of the thrombus, which had completely resolved at 4 weeks. There was no more thrombi formation after thromboembolectomy of the left femoral artery.

Recommendations: TC is a rescindable type of cardiomyopathy that is associated with good prognosis and an exceptional morphological characteristic of the left ventricle, that is defined by apical inflating appearance that has been recognized for nearly a quarter a century. We also recommend that patients with identified LV thrombus ought to be anticoagulated till LV function normalizes in addition to the thrombus no longer being present on echocardiogram.

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References

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Published

2023-08-29

How to Cite

William, D. A. ., Chesoni, D. K. ., Madekwe, D. D. ., Kenneth, D. A. ., Wabwire, D. B. ., Stanley, P. K. ., & Ferdinand, D. N. . (2023). Takotsubo Cardiomyopathy: Broken Heart Syndrome in A Tertiary Teaching & Referral Hospital in East Africa: Case Report & Literature Review. American Journal of Health, Medicine and Nursing Practice, 8(4), 59–66. https://doi.org/10.47672/ajhmn.1574

Issue

Vol. 8 No. 4 (2023)

Section

Articles

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Copyright (c) 2023 Dr. Adegu William, Dr. Kevin Chesoni, Dr. Donald Madekwe, Dr. Aluora Kenneth, Dr. Benjamin Wabwire, Prof. Khainga Stanley, Dr. Nang'ole Ferdinand

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