Thyroid Storm-induced Takotsubo Cardiomyopathy Presenting as Acute Chest Pain: A Case Report

Introduction: Stress-induced cardiomyopathy is a rare but serious cause of chest pain, which in recent studies has been shown to carry a similar in-hospital mortality to acute ST-elevation myocardial infarction. The pathophysiology of the disease is thought to be secondary to dysregulated catecholam...

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Autores principales:	Brayden Ashdown, Emilie Calvello Hynes
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/39020c37d775486383a4384900e23bde
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spelling	oai:doaj.org-article:39020c37d775486383a4384900e23bde2021-11-23T20:02:52ZThyroid Storm-induced Takotsubo Cardiomyopathy Presenting as Acute Chest Pain: A Case Report2474-252X10.5811/cpcem.2021.4.52005https://doaj.org/article/39020c37d775486383a4384900e23bde2021-11-01T00:00:00Zhttps://escholarship.org/uc/item/69d5b9frhttps://doaj.org/toc/2474-252XIntroduction: Stress-induced cardiomyopathy is a rare but serious cause of chest pain, which in recent studies has been shown to carry a similar in-hospital mortality to acute ST-elevation myocardial infarction. The pathophysiology of the disease is thought to be secondary to dysregulated catecholamine effects on myocardium. Case Report: We present a case of a previously healthy female without known thyroid disease who presented to the emergency department for acute chest pain and was found to have thyroid storm-induced cardiomyopathy in a typical stress-induced cardiomyopathy pattern without evidence of coronary disease on catheterization. Conclusion: Thyrotoxicosis can cause dysregulation of catecholamines and is a rare cause of stress-induced cardiomyopathy. It requires distinct therapies and should be considered by emergency physicians in the workup of acute chest pain with concern for stress-induced cardiomyopathy.Brayden AshdownEmilie Calvello HyneseScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Brayden Ashdown Emilie Calvello Hynes Thyroid Storm-induced Takotsubo Cardiomyopathy Presenting as Acute Chest Pain: A Case Report
description	Introduction: Stress-induced cardiomyopathy is a rare but serious cause of chest pain, which in recent studies has been shown to carry a similar in-hospital mortality to acute ST-elevation myocardial infarction. The pathophysiology of the disease is thought to be secondary to dysregulated catecholamine effects on myocardium. Case Report: We present a case of a previously healthy female without known thyroid disease who presented to the emergency department for acute chest pain and was found to have thyroid storm-induced cardiomyopathy in a typical stress-induced cardiomyopathy pattern without evidence of coronary disease on catheterization. Conclusion: Thyrotoxicosis can cause dysregulation of catecholamines and is a rare cause of stress-induced cardiomyopathy. It requires distinct therapies and should be considered by emergency physicians in the workup of acute chest pain with concern for stress-induced cardiomyopathy.
format	article
author	Brayden Ashdown Emilie Calvello Hynes
author_facet	Brayden Ashdown Emilie Calvello Hynes
author_sort	Brayden Ashdown
title	Thyroid Storm-induced Takotsubo Cardiomyopathy Presenting as Acute Chest Pain: A Case Report
title_short	Thyroid Storm-induced Takotsubo Cardiomyopathy Presenting as Acute Chest Pain: A Case Report
title_full	Thyroid Storm-induced Takotsubo Cardiomyopathy Presenting as Acute Chest Pain: A Case Report
title_fullStr	Thyroid Storm-induced Takotsubo Cardiomyopathy Presenting as Acute Chest Pain: A Case Report
title_full_unstemmed	Thyroid Storm-induced Takotsubo Cardiomyopathy Presenting as Acute Chest Pain: A Case Report
title_sort	thyroid storm-induced takotsubo cardiomyopathy presenting as acute chest pain: a case report
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/39020c37d775486383a4384900e23bde
work_keys_str_mv	AT braydenashdown thyroidstorminducedtakotsubocardiomyopathypresentingasacutechestpainacasereport AT emiliecalvellohynes thyroidstorminducedtakotsubocardiomyopathypresentingasacutechestpainacasereport
_version_	1718416086343352320

Thyroid Storm-induced Takotsubo Cardiomyopathy Presenting as Acute Chest Pain: A Case Report

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