An Atypical Case of “Takotsubo cardiomyopathy” during Alcohol Withdrawal: Abnormality in the Transient Left Ventricular Wall Motion and a Remarkable Elevation in the ST Segment

Kengo SUZUKI; Naohiko OSADA; Yoshihiro J. AKASI; Noriyuki SUZUKI; Masayoshi SAKAKIBARA; Fumihiko MIYAKE; Futaba MAKI; Youichi TAKAHASHI

doi:10.2169/internalmedicine.43.300

Cardiovascular Diseases

An Atypical Case of “Takotsubo cardiomyopathy” during Alcohol Withdrawal: Abnormality in the Transient Left Ventricular Wall Motion and a Remarkable Elevation in the ST Segment

Kengo SUZUKI, Naohiko OSADA, Yoshihiro J. AKASI, Noriyuki SUZUKI, Masayoshi SAKAKIBARA, Fumihiko MIYAKE, Futaba MAKI, Youichi TAKAHASHI

Author information

Kengo SUZUKI
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
Naohiko OSADA
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
Yoshihiro J. AKASI
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
Noriyuki SUZUKI
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
Masayoshi SAKAKIBARA
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
Fumihiko MIYAKE
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
Futaba MAKI
Division of Neurology, Department of Internal Medicine, St. Marianna University School of Medicine
Youichi TAKAHASHI
Division of Neurology, Department of Internal Medicine, St. Marianna University School of Medicine

Keywords: hypokalemia-related myopathy, takotsubo cardiomyopathy, alcohol withdrawal

JOURNAL OPEN ACCESS

2004 Volume 43 Issue 4 Pages 300-305

DOI https://doi.org/10.2169/internalmedicine.43.300

Details

Abstract

A 64-year-old man was admitted due to hypokalemia-related myopathy. He was heavy drinker. He felt the stress of alcohol withdrawal during his hospitalization. The patient suffered a cardiopulmonary arrest lasting approximately 5 minutes on the fifth hospital day. One day later, ST-segment elevation was observed in leads I, _aV_L, and V_2-6. Emergent cardiac catheterization was performed for suspicion of acute myocardial infarction. Normal coronary arteries with anterior akinesis of the left ventricle were revealed during the procedure. The present case may be an atypical form of “Takotsubo cardiomyopathy” in which the left ventricular contraction is due to focal anterior wall motion abnormalities.

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