Multiple sclerosis broke my heart.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 28437859.
- Also identified by DOI 10.1002/ana.24935.
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Abstract
We report 5 cases of acute heart failure (AHF) related to multiple sclerosis (MS) relapses. AHF was inaugural in 3 patients, always preceded or accompanied by signs of brainstem dysfunction; it was severe, requiring intensive care management. Echocardiography showed left ventricular hypokinesis. No other cause of AHF has been found. All patients showed a new medullary lesion on brain magnetic resonance imaging. All had rapid and complete recovery of ventricular function after intravenous corticosteroids. We concluded that the cases represent a takotsubo phenomenon. Physicians should be aware of rare cases of takotsubo cardiomyopathy in MS relapses. Ann Neurol 2017;81:754-758.
Medical subject headings
- Medulla Oblongata
- Multiple Sclerosis, Relapsing-Remitting
- Takotsubo Cardiomyopathy