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Takotsubo cardiomyopathy associated with alcohol withdrawal

Angus G Thompson and Joseph Hung
Med J Aust 2011; 194 (7) || doi: 10.5694/j.1326-5377.2011.tb03015.x
Published online: 4 April 2011

To the Editor: A 61-year-old man presented to the emergency department (ED) of a tertiary hospital seeking treatment for alcohol withdrawal after 36 hours of abstinence. He reported central chest pain radiating to the jaw and left arm that had been present for 2 hours before his arrival at the hospital. He had no history of cardiac disease and no known risk factors for coronary artery disease.

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  • Cardiovascular Medicine, Sir Charles Gairdner Hospital, Perth, WA.



  • 1. Sato H, Tateishi H, Uchida T, et al. Tako-tsubo-like left ventricular dysfunction due to multivessel coronary spasm. In: Kodama K, Haze K, Hori M. Clinical aspect of myocardial injury: from ischemia to heart failure [Japanese]. Tokyo: Kagakuhyoronsha Publishing Co, 1990: 56-64.
  • 2. Nef HM, Mollman H, Akashi YJ, Hamm CW. Mechanisms of stress (Takotsubo) cardiomyopathy. Nat Rev Cardiol 2010; 7: 187-193.
  • 3. Suzuki K, Osada N, Akasi YJ, et al. 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. Intern Med 2004; 43: 275-276.
  • 4. Mitchell SA, Crone RA. Takotsubo cardiomyopathy: a case report. J Am Soc Echocardiog 2006; 19: 1190.

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