Next Article in Journal
Atrial Myxoma and Williams-Beuren Syndrome. An Incidental Association?
Previous Article in Journal
A Therapeutic Genome Editing Primer for Cardiologists
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Cardiogenetics
Volume 8
Issue 1
10.4081/cardiogenetics.2018.7671
cardiogenetics-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles thumb_up
...
Endorse textsms
...
Comment
Cardiogenetics is published by MDPI from Volume 10 Issue 2 (2020). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Case Report

Reverse Takotsubo Syndrome, a Case Report of a Rare Cause for Postpartum Heart Failure

by
Leo Kilian
1,
Philip Haaf
2,
Otmar Pfister
2,
Annina S. Vischer
1,
Olav Lapaire
3 and
Thilo Burkard
1,2,*
1
Medical Outpatient and Hypertension Clinic, ESH Hypertension Centre of Excellence, Basel, Switzerland
2
Department of Cardiology, Basel, Switzerland
3
Department of Gynecology and Pregnancy Medicine, University Hospital Basel, Basel, Switzerland
*
Author to whom correspondence should be addressed.
Cardiogenetics 2018, 8(1), 7671; https://doi.org/10.4081/cardiogenetics.2018.7671
Submission received: 3 July 2018 / Accepted: 8 September 2018 / Published: 2 October 2018

Abstract

Predominant causes for newly diagnosed postpartum heart failure are preeclampsia and peripartum cardiomyopathy. Being an anatomical variant of Takotsubo syndrome (TTS) reverse TTS in this period is rare. We present a 36 year old patient, who had delivered triplets by cesarean section. Because of postpartum bleeding she was administered sulprostone. Later she was transferred to the Intensive Care Unit with sudden development of dyspnea, tachypnea and tachycardia. Clinical symptoms, laboratory findings and chest radiograph showed signs of acute heart failure. Transthoracic echocardiography (TTE) revealed reverse TTS with moderately reduced left ventricular ejection fraction (LVEF 39%). The patient stabilized with loop diuretic, angiotensine-converting enzyme inhibitors and beta-blockade. Breast-feeding was discouraged and bromocriptine administered. Left ventricular function normalized (LVEF 60%) within four weeks. TTS should be considered in patients with early postpartum development of heart failure. Rapid cardiac recompensation after the start of adequate therapy and complete resolution of clinical symptoms and TTE findings are typical for postpartum TTS.
Keywords: takotsubo; peripartum cardiomyopathy; sulprostone; case report; bromocriptin; postpartum heart failure takotsubo; peripartum cardiomyopathy; sulprostone; case report; bromocriptin; postpartum heart failure

Share and Cite

MDPI and ACS Style

Kilian, L.; Haaf, P.; Pfister, O.; Vischer, A.S.; Lapaire, O.; Burkard, T. Reverse Takotsubo Syndrome, a Case Report of a Rare Cause for Postpartum Heart Failure. Cardiogenetics 2018, 8, 7671. https://doi.org/10.4081/cardiogenetics.2018.7671

AMA Style

Kilian L, Haaf P, Pfister O, Vischer AS, Lapaire O, Burkard T. Reverse Takotsubo Syndrome, a Case Report of a Rare Cause for Postpartum Heart Failure. Cardiogenetics. 2018; 8(1):7671. https://doi.org/10.4081/cardiogenetics.2018.7671

Chicago/Turabian Style

Kilian, Leo, Philip Haaf, Otmar Pfister, Annina S. Vischer, Olav Lapaire, and Thilo Burkard. 2018. "Reverse Takotsubo Syndrome, a Case Report of a Rare Cause for Postpartum Heart Failure" Cardiogenetics 8, no. 1: 7671. https://doi.org/10.4081/cardiogenetics.2018.7671

APA Style

Kilian, L., Haaf, P., Pfister, O., Vischer, A. S., Lapaire, O., & Burkard, T. (2018). Reverse Takotsubo Syndrome, a Case Report of a Rare Cause for Postpartum Heart Failure. Cardiogenetics, 8(1), 7671. https://doi.org/10.4081/cardiogenetics.2018.7671

Article Metrics

Back to TopTop