Takotsubo cardiomyopathy with involvement of delayed-onset rhabdomyolysis and acute kidney injury after rosuvastatin treatment

Intern Med. 2015;54(1):31-5. doi: 10.2169/internalmedicine.54.3239. Epub 2015 Jan 1.

Abstract

Takotsubo cardiomyopathy is a disorder characterized by left ventricular apical ballooning with preceding emotional and/or physical stressors. This condition is also an important differential diagnosis of acute coronary syndrome. We herein describe a case of Takotsubo cardiomyopathy, a significant clinical phenomenon, triggered by delayed-onset rhabdomyolysis following the administration of long-term statin treatment, without any preceding stressors or changes in the patient's medical condition, in association with complaints of non-specific muscle-related symptoms. Although an electrocardiogram showed remarkable ST-segment elevation, a careful reading of the electrocardiogram findings revealed the features of Takotsubo cardiomyopathy. Withdrawing the statin therapy improved the patient's cardiac function.

Publication types

  • Case Reports

MeSH terms

  • Acute Coronary Syndrome / drug therapy*
  • Acute Coronary Syndrome / pathology
  • Acute Kidney Injury / chemically induced*
  • Aged
  • Diagnosis, Differential
  • Electrocardiography
  • Fluorobenzenes / adverse effects*
  • Heart Ventricles / pathology
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / adverse effects*
  • Male
  • Pyrimidines / adverse effects*
  • Rhabdomyolysis / chemically induced*
  • Rosuvastatin Calcium
  • Sulfonamides / adverse effects*
  • Takotsubo Cardiomyopathy / chemically induced*
  • Takotsubo Cardiomyopathy / diagnosis
  • Treatment Outcome
  • Withholding Treatment

Substances

  • Fluorobenzenes
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Pyrimidines
  • Sulfonamides
  • Rosuvastatin Calcium