論文

査読有り 国際誌
2022年12月

Recurrent Takotsubo Syndrome Due to Hypoglycemic Attacks.

Cureus
  • Hideya Itagaki
  • ,
  • Yoshinobu Abe
  • ,
  • Tomoyuki Endo

14
12
開始ページ
e32527
終了ページ
記述言語
英語
掲載種別
DOI
10.7759/cureus.32527

Takotsubo syndrome (TTS) is a disorder with transient cardiac dysfunction triggered by stress. Rarely, hypoglycemia can also trigger TTS, but there are no case reports of repeated TTS due to hypoglycemia. We report the case of a 51-year-old Japanese woman who was brought to the emergency department with impaired consciousness and shock vitals. Blood tests revealed severe hypoglycemia. She also had an abnormal electrocardiogram with a QS pattern in the anterior thoracic guidance, which led to the diagnosis of TTS after repeated echocardiographic evaluation by a cardiologist. The diagnosis of hypoglycemic coma was made, and the patient was admitted to the intensive care unit (ICU). The patient had anorexia nervosa and had been suffering from a hypoglycemic coma due to anorexia for some time. The patient had a history of hypoglycemic coma about one year before and had been hospitalized in the ICU with TTS at that time. We report the world's first case of repeated TTS due to hypoglycemia. Since hypoglycemia is hemodynamically associated with increased heart rate and systolic blood pressure, TTS should be included in the differential diagnosis when shock vitals are repeated in patients with frequent hypoglycemia.

リンク情報
DOI
https://doi.org/10.7759/cureus.32527
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/36654548
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9840430
ID情報
  • DOI : 10.7759/cureus.32527
  • PubMed ID : 36654548
  • PubMed Central 記事ID : PMC9840430

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