6533b856fe1ef96bd12b1c3f

RESEARCH PRODUCT

takotsubo cardiomiopathy after acute diarrhea

A RotoloEnrico HoffmannMarco CarusoGiuseppe CoppolaMarilena FerrandesGiovanni FazioSalvatore NovoAssennato PasqualeNovo GiuseppinaGianfranco CiaramitaroFarinella MGiovanni Ferro

subject

DiarrheaMalemedicine.medical_specialtyAcute diarrheaAcute coronary syndromeCardiomyopathyAdrenergicDiagnosis DifferentialElectrocardiographyTakotsubo CardiomyopathyInternal medicineInternal MedicineMedicineHumansAcute Coronary Syndrometakotsubo cardiomiopathyAgedmedicine.diagnostic_testbusiness.industryGeneral Medicinemedicine.diseaseSettore MED/11 - Malattie Dell'Apparato CardiovascolareDiarrheaEndocrinologyEchocardiographyAutonomic imbalanceAcute DiseaseCardiologymedicine.symptomDifferential diagnosisbusinessElectrocardiography

description

Takotsubo cardiomyopaty is a recently described syndrome characterized by transient left ventricular dysfunction, mimicking an acute coronary syndrome and usually precipitated by a physical or emotional stress. We report the first case of Takotsubo cardiomyopathy after acute diarrhea in a man. It may be argued that severe diarrhea in predisposed individuals may cause an acute stress resulting in increased sympathetic activity leading to this syndrome. Probably the relationship between the adrenergic system and the heart is more complex than general thought and the stimuli which favor an autonomic imbalance and precipitate the syndrome are very disparate in clinical practice.

http://hdl.handle.net/10447/355384