CASE REPORT
Takotsubo cardiomyopathy in the case of 72-year-old teacher after work-related psychological stress. Evolution of left ventricular longitudinal strain –
Delayed but complete recovery in automated function imaging (AFI)
1 1 | Medical University of Lodz, Łódź, Poland
(Chair and Department of Cardiology) |
2 | Nofer Institute of Occupational Medicine, Łódź, Poland
(Department of Occupational Diseases and Environmental Health, Health Policy Unit) |
CORRESPONDING AUTHOR
Karina Wierzbowska-Drabik
Medical University of Lodz, Chair and Department of Cardiology, Kniaziewicza 1/5, 91-347 Łódź, Poland
Medical University of Lodz, Chair and Department of Cardiology, Kniaziewicza 1/5, 91-347 Łódź, Poland
Online publication date: 2017-03-23
Int J Occup Med Environ Health 2017;30(4):681–683
KEYWORDS
professional activityoccupational stresstransthoracic echocardiographytakotsubo cardiomyopathylongitudinal strainAFI analysis
TOPICS
clinical occupational medicinereturn to workoccupational and environmental risk factors of work-related diseases, with special regard to cardiovascular and musculoskeletal diseasesoccupational stress
ABSTRACT
Takotsubo cardiomyopathy (TC) is related to a transient systolic dysfunction of left ventricle (LV), accompanied by clinical
and electrocardiographic symptoms of myocardial ischemia in the absence of hemodynamically significant coronary
artery disease. Takotsubo cardiomyopathy is usually provoked by a psychologically or/and physically stressful event which
may be related to occupational activities. Although visually assessed evolution of LV function is well documented, the data
concerning strain changes is sparse and various patterns of deformation abnormalities are suggested. We have described
a 72-year-old woman with chest pain related to a lecture given at the meeting of the Senior University, fulfilling all the Mayo
Clinic criteria of the TC. The longitudinal strain analysis with automated function imaging (AFI) documented severe impairment
and stepwise recovery of regional and global LV contractility. The case described confirms that accurate diagnosis,
treatment and documenting of functional improvement in takotsubo cardiomyopathy may enable the return to occupational
activities even for elderly persons. Int J Occup Med Environ Health 2017;30(4):681–683
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