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VOLUME 26 , ISSUE 4 ( April, 2022 ) > List of Articles

CASE REPORT

Epidural Steroid Injection—Procedure-related Stress (Takotsubo) Cardiomyopathy: A Rare Case

S Prashanth, Pradeep Venkategowda

Keywords : Cardiomyopathy, Epidural steroid, Stress, Takotsubo

Citation Information : Prashanth S, Venkategowda P. Epidural Steroid Injection—Procedure-related Stress (Takotsubo) Cardiomyopathy: A Rare Case. Indian J Crit Care Med 2022; 26 (4):526-527.

DOI: 10.5005/jp-journals-10071-24179

License: CC BY-NC 4.0

Published Online: 13-05-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Stress cardiomyopathy/Takotsubo cardiomyopathy (TC) is a transient and reversible acute heart failure provoked by physical or emotional stress. This case report highlights about a patient who experienced sudden onset chest pain and breathlessness following epidural steroid injection for pain secondary to prolapsed intervertebral disc. Initial clinical features, electrocardiogram, troponin levels, and transthoracic echocardiography showed features suggestive of acute coronary syndrome but the coronary angiogram was normal. The diagnosis of stress cardiomyopathy was made and managed successfully. This case report highlights one of the rare cases of procedure-related early stress cardiomyopathy. Early diagnosis and management reduce morbidity and mortality.


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