Sclerotherapy Induced Takotsubo Syndrome
A 66-year-old female was brought to the emergency department for acute-onset left-sided chest pain. Prior to arrival, she was at an outpatient appointment with a vascular surgeon for elective sclerotherapy treatment of her lower extremity varicose veins. After receiving an IV injection of polidocano...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2020/5626078 |
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| _version_ | 1850172670337875968 |
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| author | Sunny Patel Sepideh Nabatian Michael Goyfman |
| author_facet | Sunny Patel Sepideh Nabatian Michael Goyfman |
| author_sort | Sunny Patel |
| collection | DOAJ |
| description | A 66-year-old female was brought to the emergency department for acute-onset left-sided chest pain. Prior to arrival, she was at an outpatient appointment with a vascular surgeon for elective sclerotherapy treatment of her lower extremity varicose veins. After receiving an IV injection of polidocanol, she developed severe chest pain with left arm and jaw numbness for the first time in her life. Upon arrival to the ED, the patient reported that her symptoms had resolved. Electrocardiogram (ECG) on presentation was significant for T-wave inversions in leads V1-V3. An initial set of cardiac enzymes showed a troponin I level of 0.62 ng/mL, which subsequently increased to 2.26 ng/mL. Her echocardiogram was significant for mild left ventricular systolic dysfunction with apical hypokinesis (ejection fraction 50%). A repeat ECG showed new T-wave inversions compared to that from the time of admission. The patient eventually agreed to cardiac catheterization, which revealed patent vessels without coronary artery disease, supporting our diagnosis of Takotsubo syndrome and what is the first reported case of likely polidocanol-induced Takotsubo syndrome in the United States. |
| format | Article |
| id | doaj-art-cdcd3ee57ce845eb8fa4b9c6027eb0e5 |
| institution | OA Journals |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-cdcd3ee57ce845eb8fa4b9c6027eb0e52025-08-20T02:20:01ZengWileyCase Reports in Cardiology2090-64042090-64122020-01-01202010.1155/2020/56260785626078Sclerotherapy Induced Takotsubo SyndromeSunny Patel0Sepideh Nabatian1Michael Goyfman2Department of Medicine, Long Island Jewish Forest Hills, Northwell Health, New York, USADepartment of Cardiology, Long Island Jewish Forest Hills, Northwell Health, New York, USADepartment of Cardiology, Long Island Jewish Forest Hills, Northwell Health, New York, USAA 66-year-old female was brought to the emergency department for acute-onset left-sided chest pain. Prior to arrival, she was at an outpatient appointment with a vascular surgeon for elective sclerotherapy treatment of her lower extremity varicose veins. After receiving an IV injection of polidocanol, she developed severe chest pain with left arm and jaw numbness for the first time in her life. Upon arrival to the ED, the patient reported that her symptoms had resolved. Electrocardiogram (ECG) on presentation was significant for T-wave inversions in leads V1-V3. An initial set of cardiac enzymes showed a troponin I level of 0.62 ng/mL, which subsequently increased to 2.26 ng/mL. Her echocardiogram was significant for mild left ventricular systolic dysfunction with apical hypokinesis (ejection fraction 50%). A repeat ECG showed new T-wave inversions compared to that from the time of admission. The patient eventually agreed to cardiac catheterization, which revealed patent vessels without coronary artery disease, supporting our diagnosis of Takotsubo syndrome and what is the first reported case of likely polidocanol-induced Takotsubo syndrome in the United States.http://dx.doi.org/10.1155/2020/5626078 |
| spellingShingle | Sunny Patel Sepideh Nabatian Michael Goyfman Sclerotherapy Induced Takotsubo Syndrome Case Reports in Cardiology |
| title | Sclerotherapy Induced Takotsubo Syndrome |
| title_full | Sclerotherapy Induced Takotsubo Syndrome |
| title_fullStr | Sclerotherapy Induced Takotsubo Syndrome |
| title_full_unstemmed | Sclerotherapy Induced Takotsubo Syndrome |
| title_short | Sclerotherapy Induced Takotsubo Syndrome |
| title_sort | sclerotherapy induced takotsubo syndrome |
| url | http://dx.doi.org/10.1155/2020/5626078 |
| work_keys_str_mv | AT sunnypatel sclerotherapyinducedtakotsubosyndrome AT sepidehnabatian sclerotherapyinducedtakotsubosyndrome AT michaelgoyfman sclerotherapyinducedtakotsubosyndrome |