Diabetic ketoacidosis induced Takotsubo cardiomyopathy : A case report

Diabetic ketoacidosis induced Takotsubo cardiomyopathy

Authors

  • Napassorn Teeratakulpisarn Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand, 10700
  • Surat Tongyoo Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand, 10700
  • Saranthorn Purngcharoenkul Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand, 10700

DOI:

https://doi.org/10.54205/ccc.v31.262640

Keywords:

Takotsubo cardiomyopathy, Diabetic ketoacidosis

Abstract

Takotsubo cardiomyopathy (TC) is a syndrome of transient regional wall motion abnormalities of the left ventricle causing an apical ballooning pattern. This condition can be triggered by intense emotional or physical stress. In the past, many case reports showed cases of diabetic ketoacidosis induced Takotsubo cardiomyopathy who presented with initial ST segment elevation ECG at the present to the hospital simultaneously with the ongoing stress. In this paper, we report a case of Takotsubo cardiomyopathy whose ST segment changed 2 days after the resolution of diabetic ketoacidosis.

References

Medina de Chazal H, Del Buono MG, Keyser-Marcus L, Ma L, Moeller FG, Berrocal D, Abbate A. Stress cardiomyopathy diagnosis and treatment: JACC State-of-the-Art review. J Am Coll Cardiol. 2018;72(16):1955-1971.

Abbas A, Patel N, Kazmi R, Mirza N, Miller R, Correia J. Diabetic ketoacidosis-induced cardiomyopathy and reversible dialysis-dependent renal failure with successful outcome: A report of a rare case. Cureus. 2022;14(11):e31711.

Wu WT, Hsu PC, Huang HL, Chen YC, Chien SC. A case of Takotsubo cardiomyopathy precipitated by thyroid storm and diabetic ketoacidosis with poor prognosis. Acta Cardiol Sin. 2014;30(6):574-7.

Katayama Y, Hifumi T, Inoue J, Koido Y. A case of Takotsubo cardiomyopathy induced by accidental hypothermia and diabetic ketoacidosis. BMJ Case Rep. 2013;2013:bcr2012008143.

Nanda S, Longo S, Bhatt SP, Pamula J, Sharma SG, Dale TH. Stress cardiomyopathy - a unique presentation of diabetic ketoacidosis. Ann Clin Biochem. 2009;46(Pt 3):257-60.

Gordon A, LaCapra G, Roberti R. DKA-induced Takotsubo cardiomyopathy in patient with known HOCM. Case Rep Crit Care. 2017;2017:4287125.

Jed H. Meyers, Irl B. Hirsch. Takotsubo cardiomyopathy in association with Dka in a blind pump patient. AACE Clinical Case Reports. 2017;3(1):e44-e45

Dickow M, Chaudhry S, Khanam V, et al. A case report of Dka-induced Takotsubo cardiomyopathy in a stiff person syndrome on IVIG. J Am Coll Cardiol. 2021;77:3006.

Khaing Khaing Htwe, Priya Patel, Hay Mar Soe. Association of diabetic ketoacidosis with Takotsubo cardiomyopathy. Chest. 2020;158(4):supplement

Lyon AR, Citro R, Schneider B, Morel O, Ghadri JR, Templin C, Omerovic E. Pathophysiology of Takotsubo syndrome: JACC state-of-the-art review. J Am Coll Cardiol. 2021;77(7):902-921.

Bybee KA, Kara T, Prasad A, Lerman A, Barsness GW, Wright RS, Rihal CS. Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med. 2004;141(11):858-65.

Templin C, Ghadri JR, Diekmann J, et al. Clinical features and outcomes of Takotsubo (stress) cardiomyopathy. N Engl J Med. 2015;373(10):929-38.

Prasad A, Dangas G, Srinivasan M, Yu J, Gersh BJ, Mehran R, Stone GW. Incidence and angiographic characteristics of patients with apical ballooning syndrome (Takotsubo/stress cardiomyopathy) in the HORIZONS-AMI trial: an analysis from a multicenter, international study of ST-elevation myocardial infarction. Catheter Cardiovasc Interv. 2014;83(3):343-8.

Mhanna M, Beran A, Srour O, Ghazaleh S, Elzanaty A. A case of Takotsubo cardiomyopathy triggered by diabetic ketoacidosis and hypothermia. Cureus. 2020;12(10):e10842.

Lane AS, Champion B, Orde S, Dravec D. Diabetic ketoacidosis due to fulminant type 1 diabetes: A rare subtype of type 1 diabetes leading to unusual sequelae. J Intensive Care Soc. 2015;16(1):64-70.

Downloads

Published

2023-08-19

How to Cite

1.
Teeratakulpisarn N, Tongyoo S, Purngcharoenkul S. Diabetic ketoacidosis induced Takotsubo cardiomyopathy : A case report: Diabetic ketoacidosis induced Takotsubo cardiomyopathy. Clin Crit Care [Internet]. 2023 Aug. 19 [cited 2024 Jun. 17];31(1):2023:e0013. Available from: https://he02.tci-thaijo.org/index.php/ccc/article/view/262640

Issue

Section

Case Report