ArticleJACC. Case reports2025
Stress-Induced Cardiomyopathy Following Kidney Transplant.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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10 authors.
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Abstract
introductionTakotsubo syndrome (TTS), commonly referred to as stress-induced cardiomyopathy, is a reversible type of nonischemic heart failure mimicking acute coronary syndrome. CASE PRESENTATION: A 55-year-old woman with end-stage renal disease experienced severe chest pain, dyspnea, and diaphoresis a few hours after undergoing a kidney transplant. Initial evaluations revealed ST-T wave changes alongside elevated troponin I levels. Echocardiography revealed a reduced left ventricular ejection fraction (LVEF) of 25% to 30% and apical wall motion abnormalities. Hence, coronary angiography was performed, which showed no significant coronary stenosis, a finding supporting a diagnosis of TTS. A follow-up transthoracic echocardiogram demonstrated a normalized LVEF 4 weeks later, thus confirming the provisional diagnosis. DISCUSSION: This case highlights the necessity for clinicians to be vigilant for TTS in patients with acute cardiac conditions, specifically in patients undergoing significant physiological stress, such as post-surgery or following norepinephrine administration.
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