Inverted Takotsubo Syndrome With HELLP Syndrome : A Case Report

Copyright © 2022 Gabarre, Ruiz, Chenevier-Gobeaux, Charpentier, Soulat-Dufour, Cohen, Monnier-Cholley, Chemali, François, Kerneis, Lefèvre and Boissan..

Background: Takotsubo syndrome is an acute cardiac condition involving sudden, transient apical ballooning of the left ventricle of the heart that may be triggered by emotional stress and some non-cardiac conditions. Its diagnosis is based on clinical presentation, electrocardiogram, cardiac imaging and biomarkers.

Case Summary: Here, we present a novel and original case report of a patient presenting very soon in the post-partum period with an unusual form of Takotsubo syndrome without clinical symptoms of cardiac disease and accompanied by HELLP syndrome. The overall dynamics of the changes in troponin I, troponin T and NT-proBNP levels after delivery were generally similar, but the amount of troponin I was much greater than that of troponin T and troponin I was already elevated before delivery. NT-proBNP levels peaked around the same time as the troponins and the peak concentration was within the same range as that of troponin I.

Discussion: Our findings indicate that assaying circulating cardiac biomarkers, especially troponin I and NT-proBNP, may be a useful complement to non-invasive cardiac imaging including transthoracic echocardiography and cardiovascular magnetic resonance imaging, in the diagnosis of Takotsubo syndrome. They illustrate the importance of cardiac biomarkers in assisting diagnosis of this disease.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:9

Enthalten in:

Frontiers in cardiovascular medicine - 9(2022) vom: 20., Seite 832098

Sprache:

Englisch

Beteiligte Personen:

Gabarre, Paul [VerfasserIn]
Ruiz, Pablo [VerfasserIn]
Chenevier-Gobeaux, Camille [VerfasserIn]
Charpentier, Etienne [VerfasserIn]
Soulat-Dufour, Laurie [VerfasserIn]
Cohen, Ariel [VerfasserIn]
Monnier-Cholley, Laurence [VerfasserIn]
Chemali, Lotfi [VerfasserIn]
François, Hélène [VerfasserIn]
Kerneis, Mathieu [VerfasserIn]
Lefèvre, Guillaume [VerfasserIn]
Boissan, Mathieu [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Case report
HELLP syndrome
NT-proBNP
Pregnancy
Takotsubo
Troponin I
Troponin T

Anmerkungen:

Date Revised 07.05.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.3389/fcvm.2022.832098

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM339632704