Case Reports
Triggers, modes of presentation and outcomes of stress cardiomyopathy
Authors:
R. B. D. Ranasinghe ,
Teaching Hospital, Karapitiya, LK
About R. B. D.
Cardiology Unit
D. A. Abeysiriwardana,
Teaching Hospital, Karapitiya, LK
About D. A.
Cardiology Unit
P. P. Sathananthan,
Teaching Hospital, Karapitiya, LK
About P. P.
Cardiology Unit
R. A. T. K. Ranasinghe,
Colombo South Teaching Hospital, Kalubowila, LK
P. A. I. Muthukumarana
Teaching Hospital, Karapitiya, LK
About P. A. I.
Cardiology Unit
Abstract
Stress cardiomyopathy is an underdiagnosed condition characterized by transient hypokinesia/ akinesia of left ventricle following a physical or psychological trigger in the absence of occlusive coronary artery disease.
Seven patients managed as definitive or possible stress cardiomyopathy at the Teaching Hospital Karapitiya, Sri Lanka over a period of one year are included in this case series. Five patients underwent coronary angiography with or without ventriculography leading to a definite diagnosis. The other two patients were diagnosed based on their echocardiography findings alone. All seven patients were women and the onset was triggered by various physical and emotional triggers including infections, per cutaneous intervention, adrenaline injection, surgery, heated argument and sudden death of a loved one.
Stress cardiomyopathy has a significant variation of triggers, modes of presentation and outcomes. We discuss seven cases of this condition to help clinicians to better understand and manage this treatable condition.
How to Cite:
Ranasinghe, R.B.D., Abeysiriwardana, D.A., Sathananthan, P.P., Ranasinghe, R.A.T.K. and Muthukumarana, P.A.I., 2020. Triggers, modes of presentation and outcomes of stress cardiomyopathy. Journal of the Ceylon College of Physicians, 51(2), pp.139–143. DOI: http://doi.org/10.4038/jccp.v51i2.7908
Published on
14 Dec 2020.
Peer Reviewed
Downloads
