Takotsubo Cardiomyopathy in Traumatic Brain Injury: A Case Report

Authors

  • Rajib Hasan Senior Clinical Staff, Medical ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204
  • Mohiuddin Ahmed Consultant, Internal Medicine & ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204
  • ARM Nooruzzaman Consultant, Internal Medicine & ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204
  • Md Motiul Islam Associate Consultant, Medical ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204
  • Mohammad Rabiul Halim Senior Clinical Staff, Medical ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204
  • Kazi Sami Saleh Abdullah Senior Clinical Staff, Medical ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204
  • Muhammad Mahbubur Rahman Bhuiyan Senior Clinical Staff, Medical ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204
  • Muhammad Mashiur Rahman Senior Clinical Staff, Medical ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204
  • Kazi Nuruddin Ahmed Senior Clinical Staff, Medical ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204
  • Md Hafizur Rahman Senior Clinical Staff, Medical ICU, Asgar Ali Hospital, 111/1/A, Distillery Road, Gandaria, Dhaka-1204

DOI:

https://doi.org/10.3329/bccj.v5i2.34400

Abstract

Background: Takotsubo cardiomyopathy (TC) is a well-known complication of severe brain insult but has been rarely described in patients with traumatic brain injury (TBI).

Methods: Case report and review of literature.

Results: We report a 25-year-old lady with moderate traumatic brain injury (TBI) developing circulatory shock. Takotsubo cardiomyopathy (TC) was diagnosed by repeated echocardiography. Cardiovascular support by pressor agents led to hemodynamic stabilization after initiation of noradrenaline. Cardiac function fully recovered within 2 weeks. We performed an in-depth literature review and identified 17 reported patients with TBI and TC. Clinical course and characteristics are discussed in the context of our patient.

Conclusion: TC is rarely diagnosed after TBI and may lead to poor outcome if not addressed in time.

Bangladesh Crit Care J September 2017; 5(2): 143-146

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Published

2017-10-22

How to Cite

Hasan, R., Ahmed, M., Nooruzzaman, A., Islam, M. M., Halim, M. R., Abdullah, K. S. S., Bhuiyan, M. M. R., Rahman, M. M., Ahmed, K. N., & Rahman, M. H. (2017). Takotsubo Cardiomyopathy in Traumatic Brain Injury: A Case Report. Bangladesh Critical Care Journal, 5(2), 143–146. https://doi.org/10.3329/bccj.v5i2.34400

Issue

Section

Case Reports