To tilfælde af takotsubo-kardiomyopati hos patienter behandlet med høje doser inhalerede beta-2-agonister
Ugeskr Læger 2016;178:V12150988
Two cases of takotsubo cardiomyopathy in patients treated with high doses of inhaled beta-2-agonists
Takotsubo cardiomyopathy (TCM) is characterised by reversible left ventricular dysfunction in patients presenting with acute coronary syndrome (ACS). TCM is considered multifactorial, and the repetitive exposure to inhaled beta-2-agonists has been suspected to induce TCM in predisposed individuals. We report two cases of TCM in female patients presenting with ACS both exposed to inhaled beta-2-agonists. Eccocardiography revealed apical ballooning and reduced left ventricular function. Coronary angiography was with no significant stenosis. Both patients recovered by anticongestive treatment.