Takotsubo Cardiomyopathy in a Patient with Chronic Inflammatory Demyelinating Polyneuropathy

Authors

  • Amit Kandel Department of Neurology, University at Buffalo, SUNY-Buffalo, NY
  • Marilou Ching Department of Neurology, University at Buffalo, SUNY-Buffalo, NY
  • Osman Farooq Department of Neurology, University at Buffalo, SUNY-Buffalo, NY
  • Rohit Gokhale Department of Cardiology, University at Buffalo, SUNY-Buffalo, NY
  • Carina Alfaro-Franco Department of Cardiology, University at Buffalo, SUNY-Buffalo, NY
  • Ping Li Department of Neurology, University at Buffalo, SUNY-Buffalo, NY

Keywords:

CIDP, cardiomyopathy, takotsubo cardiomyopathy, neurogenic cardiomyopathy

Abstract

Takotsubo cardiomyopathy is an acute non-ischemic cardiomyopathy and may be triggered by physical, emotional stress or following excessive catecholamines in the body.  It has been associated with many neurologic conditions. We report a patient with chronic inflammatory demyelinating polyneuropathy (CIDP) who developed acute transient cardiomyopathy after an episode of hypoxia. To our knowledge, this is the first reported case of takotsubo cardiomyopathy associated with CIDP.

References

1. Sander HW, Latov N. Research criteria for defining patients with CIDP. Neurology. 2003;60:S8-15.
2. Lewis RA. Chronic inflammatory demyelinating polyneuropathy. Neurol Clin. 2007;25:71-87.
3. Ingall TJ, McLeod JG, Tamura N. Autonomic function and unmyelinated fibers in chronic inflammatory demyelinating polyradiculoneuropathy. Muscle Nerve. 1990;13:70-76.
4. Lyu RK, Tang LM, Wu YR, et al. Cardiovascular autonomic function and sympathetic skin response in chronic inflammatory demyelinating polyradiculoneuropathy. Muscle Nerve. 2002;26:669-672.
5. Stamboulis E, Katsaros N, Koutsis G, et al. Clinical and subclinical autonomic dysfunction in chronic inflammatory demyelinating polyradiculoneuropathy. Muscle Nerve. 2006;33:78-84.
6. Figueroa JJ, Dyck PJ, Laughlin RS, et al. Autonomic dysfunction in chronic inflammatory demyelinating polyradiculoneuropathy. Neurology. 2012;78:702-708.
7. Zochodne DW. Autonomic involvement in Guillain–Barre syndrome: A review. Muscle Nerve. 1994;17:1145-1155.
8. Samuels MA. 'Voodoo' death revisited: the modern lessons of neurocardiology. Cleve Clin J Med. 2007;74:S8.
9. Nef H, Mollmann H, Akashi Y, et al. Mechanisms of stress (Takotsubo) cardiomyopathy. Nat Rev Cardiol. 2010;7:187-193.
10. Lee V, Connolly H, Fulgham J, et al. Tako-tsubo cardiomyopathy in aneurysmal subarachnoid hemorrhage: an underappreciated ventricular dysfunction. J Neurosurg. 2006;105:264-270.
11. Jung JH, Min PK, Rim SJ, et al. Are Electrocardiographic Changes in Patients with Acute Subarachnoid Hemorrhage Associated with Takotsubo Cardiomyopathy? Cardiology. 2010;115:98-106.
12. Yoshimura S, Toyoda K, Ohara T, et al. Takotsubo cardiomyopathy in acute ischemic stroke. Ann Neurol. 2008;64:547-554.
13. Bansal V, Kansal MM, Rowin J. Broken heart syndrome in myasthenia gravis. Muscle Nerve. 2011;44:990-993.
14. Mitani M, Funakawa I, Jinnai K. [Transient left ventricular apical ballooning, "Takotsubo" cardiomyopathy, in an amyotrophic lateral sclerosis patient on long-term respiratory support]. Rinsho shinkeigaku = Clinical neurology. 2005;45:740-743.
15. Kato Y, Takeda H, Furuya D, et al. Takotsubo cardiomyopathy associated with top of the basilar artery syndrome. J Neurol. 2009;256:141-142.
16. Legriel S, Bruneel F, Dalle L, et al. Recurrent takotsubo cardiomyopathy triggered by convulsive status epilepticus. Neurocrit Care. 2008;9:118-121.
17. Stöllberger C, Wegner C, Finsterer J. Seizure-associated Takotsubo cardiomyopathy. Epilepsia. 2011;52:e160-e167.
18. Martins RP, Barbarot N, Coquerel N, et al. Takotsubo cardiomyopathy associated with Guillain-Barre syndrome: a differential diagnosis from dysautonomia not to be missed. J Neurol Sci. 2010;291:100-102.
19. Report from an Ad Hoc Subcommittee of the American Academy of Neurology ATF. Research criteria for diagnosis of chronic inflammatory demyelinating polyneuropathy (CIDP). Neurology. 1991;41:617-618.
20. Hughes RAC, Bouche P, Cornblath DR, et al. European Federation of Neurological Societies/Peripheral Nerve Society guideline on management of chronic inflammatory demyelinating polyradiculoneuropathy: report of a joint task force of the European Federation of Neurological Societies and the Peripheral Nerve Society. Eur J Neurol. 2006;13:326-332.
21. Dote K, Sato H, Tateishi H, et al. Myocardial stunning due to simultaneous multivessel coronary spasms: a review of 5 cases. J Cardiol. 1991;21:203-214.
22. Tsuchihashi K, Ueshima K, Uchida T, et al. Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction. Angina Pectoris-Myocardial Infarction Investigations in Japan. J Am Coll Cardiol. 2001;38:11-18.
23. Owa M, Aizawa K, Urasawa N, et al. Emotional stress-induced 'ampulla cardiomyopathy': discrepancy between the metabolic and sympathetic innervation imaging performed during the recovery course. Jpn Circ J. 2001;65:349-352.
24. Kurisu S, Sato H, Kawagoe T, et al. Tako-tsubo-like left ventricular dysfunction with ST-segment elevation: a novel cardiac syndrome mimicking acute myocardial infarction. Am Heart J. 2002;143:448-455.
25. Sharkey SW, Lesser JR, Zenovich AG, et al. Acute and Reversible Cardiomyopathy Provoked by Stress in Women From the United States. Circulation. 2005;111:472-479.
26. Wittstein IS, Thiemann DR, Lima JAC, et al. Neurohumoral Features of Myocardial Stunning Due to Sudden Emotional Stress. N Engl J Med. 2005;352:539-548.
27. Wittstein IS. The broken heart syndrome. Cleve Clin J Med. 2007;74:S17.
28. Connor RCR. Heart Damage Associated with Intracranial Lesions. Br Med J. 1968;3:8-1,29-31.
29. Tung P, Kopelnik A, Banki N, et al. Predictors of Neurocardiogenic Injury After Subarachnoid Hemorrhage. Stroke. 2004;35:548-551.
30. Kerr G, Ray G, Wu O, et al. Elevated Troponin after Stroke: A Systematic Review. Cerebrovasc Dis. 2009;28:220-226.
31. Khechinashvili G, Asplund K. Electrocardiographic Changes in Patients with Acute Stroke: A Systematic Review. Cerebrovasc Dis. 2002;14:67-76.
32. Samuels MA. The Brain–Heart Connection. Circulation. 2007;116:77-84.
33. Schenk EA, Moss AJ. Cardiovascular Effects of Sustained Norepinephrine Infusions. II. Morphology. Circ Res. 1966;18:605-615.
34. Lacy CR, Contrada RJ, Robbins ML, et al. Coronary vasoconstriction induced by mental stress (simulated public speaking). Am J Cardiol. 1995;75:503-505.
35. Mann DL, Kent RL, Parsons B, et al. Adrenergic effects on the biology of the adult mammalian cardiocyte. Circulation. 1992;85:790-804.
36. Hernandez-Pampaloni M, Keng FY, Kudo T, et al. Abnormal longitudinal, base-to-apex myocardial perfusion gradient by quantitative blood flow measurements in patients with coronary risk factors. Circulation. 2001;104:527-532.

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Published

2015-04-30

How to Cite

Kandel, A., Ching, M., Farooq, O., Gokhale, R., Alfaro-Franco, C., & Li, P. (2015). Takotsubo Cardiomyopathy in a Patient with Chronic Inflammatory Demyelinating Polyneuropathy. North American Journal of Medicine and Science, 8(2). Retrieved from https://najms.com/index.php/najms/article/view/60

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Section

Case Report