Downloads: 0 | Views: 92

Case Studies | Medicine | India | Volume 11 Issue 12, December 2022

Takotsubo Cardiomyopathy in a Patient with Neuroparalytic Snake Bite: A Case Report

Dr. Rajat Modi | Dr. Nirav Munjani

Abstract: Introduction: Takotsubo cardiomyopathy mimics acute coronary syndrome and is accompanied by reversible left ventricular apical ballooning in the absence of angiographically significant coronary artery stenosis. It is more commonly occurs in female patient. Stress is the main factor in takotsubo cardiomyopathy, with more than 85% of cases set in motion by either a physically or emotionally stressful event that prefaces the start of symptoms. Case: A case of 27 year old female who came with history of snakebite and she developed neuroparalytic symptoms including all four limb weakness, ptosis and respiratory muscle paralysis, for that she was given anti snake venom and mechanical ventilation support. she was also hemodynamically unstable and having ECG changes for that 2D - Echo was urgently done and shows stress induced cardiomyopathy. She was successfully managed with inotropic support, supportive measure and continuous cardiac monitoring. Snakebite induced neurotoxicity should be taken into account as a stress for cardiomyopathy.

Keywords: Takotsubo cardiomyopathy, Snake bite, Emotional stress, Apical ballooning, Ptosis, Antisnake venom

Edition: Volume 11 Issue 12, December 2022,

Pages: 739 - 741