Citation

Romano M, Zorzoli F, Bertona R, Villani R. Case Rep. Med. 2013; 2013.

Copyright

(Copyright © 2013, Hindawi Publishing)

DOI

10.1155/2013/946378

PMID

unavailable

Abstract

Takotsubo cardiomyopathy typically presents in menopausal women following episodes of intense physical or mental stress. To our knowledge, the literature contains only two documented cases of Takotsubo cardiomyopathy arising following a suicide attempt, neither of which involved pharmaceutical poisoning. Here, however, we document the case of a young male patient with borderline personality disorder and a clinical and angiographic presentation compatible with Takotsubo cardiomyopathy arising following a suicide attempt by voluntary drug intoxication (risperidone, barbiturates, and benzodiazepine). The potential pathophysiological mechanisms behind this unusual clinical picture are discussed. © 2013 Massimo Romanò et al.

Language: en

Keywords

adult; human; male; case report; suicide attempt; enoxaparin; article; barbituric acid derivative; drug intoxication; psychiatric department; priority journal; emergency ward; acetylsalicylic acid; intensive care; risperidone; benzodiazepine; artificial ventilation; heart rate; electrocardiogram; endotracheal intubation; Glasgow coma scale; ST segment elevation; oxygen saturation; oxygen therapy; comatose patient; arterial gas; drug dose increase; heart left ventricle ejection fraction; arterial pressure; respiratory acidosis; ramipril; echocardiography; takotsubo cardiomyopathy; heart ventriculography; bisoprolol; heart left ventricle contractility; stomach intubation