Document Detail

Takotsubo cardiomyopathy in pregnancy.
MedLine Citation:
PMID:  18669760     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Takotsubo cardiomyopathy is a cardiac condition associated with the acute onset of chest pain, abnormalities in cardiac enzymes and electrocardiogram, and a distinct pattern of left ventricular dysfunction on echocardiography. This case evaluates an obstetric patient diagnosed with Takotsubo cardiomyopathy during her 23rd week of pregnancy. CASE: A woman (G3P2002) at 23 weeks in an intrauterine pregnancy was admitted with chest pain. ST-segment elevation was noted on electrocardiogram with elevated cardiac enzymes. Subsequent tracings showed resolution of ST elevation with conservative management. Echocardiography was consistent with Takotsubo cardiomyopathy. She delivered through spontaneous vaginal delivery at term after a complete resolution of her cardiomyopathy. CONCLUSION: Although uncommon, physicians who manage cardiac complications should be familiar with the diagnosis and management of Takotsubo cardiomyopathy.
Paul Brezina; Christy M Isler
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  112     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-01     Completed Date:  2008-09-09     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  450-2     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Brody School of Medicine at East Carolina University, Greenville, NC 27858, USA.
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MeSH Terms
Adrenergic beta-Antagonists / therapeutic use
Metoprolol / analogs & derivatives,  therapeutic use
Pregnancy Complications, Cardiovascular / diagnosis*,  drug therapy
Takotsubo Cardiomyopathy / diagnosis*,  drug therapy
Reg. No./Substance:
0/Adrenergic beta-Antagonists; 0/metoprolol succinate; 37350-58-6/Metoprolol

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