Acute heart failure after Caesaerean section: peri-partum or tako-tsubo cardiomiopathy?

Acute heart failure after Caesaerean section: peri-partum or tako-tsubo cardiomiopathy?

Authors

  • Rodolfo Citro A.O.U. “Scuola Medica Salernitana”. Dipartimento Medico-Chirurgico di Cardiologia. Salerno
  • Roberta Giudice A.O.U. “Scuola Medica Salernitana”. Dipartimento Medico-Chirurgico di Cardiologia. Salerno
  • Marco Mirra A.O.U. “Scuola Medica Salernitana”. Dipartimento Medico-Chirurgico di Cardiologia. Salerno
  • Rosa Paolillo A.O.U. “Scuola Medica Salernitana”. Dipartimento Medico-Chirurgico di Cardiologia. Salerno
  • Chiara Paolillo A.O.U. “Scuola Medica Salernitana”. Dipartimento Medico-Chirurgico di Cardiologia. Salerno
  • Cesare Baldi A.O.U. “Scuola Medica Salernitana”. Dipartimento Medico-Chirurgico di Cardiologia. Salerno
  • Eduardo Bossone A.O.U. “Scuola Medica Salernitana”. Dipartimento Medico-Chirurgico di Cardiologia. Salerno


DOI:

https://doi.org/10.7175/cmi.v5i1.512

Keywords:

Tako-tsubo syndrome, Stress-induced cardiomyopathy, Peri-partum cardiomyopathy, Acute heart failure

Abstract

A young woman undergoes Caesarean section at the 39th week of pregnancy: shortly after she develops acute cardiorespiratory failure. The electrocardiography shows sinus tachycardia and right bundle branch block. The ventriculography confirms the decrease of the pump function and the mid-ventricular ballooning of the left ventricle; the differential diagnosis is between peri-partum cardiomyopathy and stress induced tako-tsubo cardiomyopathy: the sudden onset, the results of the ventriculography and the complete recovery after 11 days of treatment for acute heart failure led the diagnosis towards tako-tsubo cardiomyopathy.

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Published

2011-03-15

Issue

Vol. 5 No. 1 (2011)

Section

Case report

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