AUCTORES
Globalize your Research
Case Report | DOI: https://doi.org/10.31579/2690-8808/182
Resident, Department of Cardiology, Christian Medical College Vellore, Tamil Nadu, India.
*Corresponding Author: Amit Mandal. Resident, Department of Cardiology, Christian Medical College Vellore, Tamil Nadu, India.
Citation: Amit Mandal, (2024), Broken Heart Syndrome after seeing a snake, J, Clinical Case Reports and Studies, 5(1); DOI:10.31579/2690-8808/182
Copyright: ©2024, Amit Mandal. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 19 February 2024 | Accepted: 27 February 2024 | Published: 06 March 2024
Keywords: broken heart syndrome; snake; obstructive coronary disease; Mayo Clinic; Takotsubo cardiomyopathy; CAG; laboratory investigations; pheochromocytoma or myocarditis
Takotsubo cardiomyopathy is characterized by a reversible left ventricular dysfunction, predominant in females with a 76–90% occurrence, especially those who are postmenopausal. Since takotsubo syndrome is relatively rare in male patients the clinical features remain to be determined. It was recently reported that cardiac complications, such as cardiovascular death, severe pump failure, and ventricular arrhythmia, are more common in male patients than in female patients with Takotsubo cardiomyopathy. We report a case of a middle-aged gentleman diagnosed with stress-induced cardiomyopathy after seeing a poisonous snake crawling on the floor next to his bed. A middle-aged gentleman, presented to the emergency department for acute onset of chest discomfort which started 4 hours prior to presentation.
According to the Mayo Clinic Criteria [1] Takotsubo cardiomyopathy is defined as
Takotsubo cardiomyopathy is characterized by a reversible left ventricular dysfunction, predominant in females with a 76–90% occurrence [2-4], especially those who are postmenopausal [5]. Since takotsubo syndrome is
relatively rare in male patients the clinical features remain to be determined. It was recently reported that cardiac complications, such as cardiovascular death, severe pump failure, and ventricular arrhythmia, are more common in male patients than in female patients with Takotsubo cardiomyopathy [4] We report a case of a middle-aged gentleman diagnosed with stress-induced cardiomyopathy after seeing a poisonous snake crawling on the floor next to his bed. A middle-aged gentleman, presented to the emergency department for acute onset of chest discomfort which started 4 hours prior to presentation. Associated symptoms were racing heart and light headedness with a sensation of impending doom. Symptoms started when he saw a poisonous snake crawling on the floor next to his bed. There was no history of bite. He was not on any routine medications. He did not smoke cigarettes, drink alcohol, or use recreational drugs. On presentation, his blood pressure was 80/50 mm Hg, heart rate 52 beats/min, temperature 97.9F, and respiratory rate 20 breaths/min with oxygen saturation of 99% on room air. The patient appeared anxious. The physical exam was unremarkable. His Electrocardiogram revealed normal sinus rhythm with diffuse T wave inversion (Figure 1).
Figure 1: Electrocardiogram revealed normal sinus rhythm with diffuse T wave inversion
No prior electrocardiogram was available for comparison. On laboratory investigations, D-dimer was 210 ng/mL (normal<500>
Figure 2: Global normal left ventricular function with average GLS -16.2%
Based on these findings, the patient was diagnosed with Takotsubo cardiomyopathy. He was discharged after two days and when he was followed up after 3 months, he was asymptomatic with complete recovery of apical hypokinesia.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
