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Abstract
Case Report
Three cases of Takotsubo syndrome associated with hemoptysis
Hitomi Yoshikawaa Shouichi Okamotoa Yukiko Takahashib Jun Itoa Mikio Takamoric Kazuhisa Takahashia
aDepartment of Respiratory Medicine, Juntendo University Faculty of Medicine & Graduate School of Medicine
bDepartment of Respirology, Graduate School of Medicine, Chiba University
cDepartment of Respiratory Medicine and Medical Oncology, Tokyo Metropolitan Tama Medical Center
ABSTRACT
We experienced three cases of Takotsubo syndrome with hemoptysis caused by a respiratory disease. All the patients were female with a mean age of 73.7 years. The underlying diseases were bronchiectasis (n = 1), non-tuberculous mycobacterial pulmonary disease (n = 1) and chronic pulmonary aspergillosis (n = 1). The patients presented with dyspnea or disturbance of consciousness. Takotsubo syndrome developed simultaneously with mild to moderate hemoptysis in two patients and eight days after admission in the other patient with severe hemoptysis. The severity of the hemoptysis did not appear to correlate to the occurrence of Takotsubo syndrome, and the peak BNP level was higher in patients with acute complications.
Clinicians should be aware that even mild hemoptysis due to a baseline respiratory disease may lead to Takotsubo syndrome especially in postmenopausal women with symptoms such as dyspnea.
KEYWORDS
Hemoptysis Takotsubo syndrome Bronchiectasis
Received 19 Jan 2019 ／ Accepted 7 May 2019
AJRS, 8(4): 283-287, 2019
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