Chul-Hoo Kang; Jung Hwan Oh; Sook Keun Song; Sa-Yoon Kang

doi:10.14253/KJCN.2015.17.2.73

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Kang, Oh, Song, and Kang: Takotsubo Cardiomyopathy Associated with Guillain-Barré Syndrome

Original Article

Korean J Community Nutr 2015;17(2):73-75.

Published online: 18 December 2015

DOI: https://doi.org/10.14253/KJCN.2015.17.2.73

Takotsubo Cardiomyopathy Associated with Guillain-Barré Syndrome

Chul-Hoo Kang, Jung Hwan Oh, Sook Keun Song, Sa-Yoon Kang

Department of Neurology, Jeju National University School of Medicine, Jeju, Korea

Address for correspondence; Sa-Yoon Kang Department of Neurology, Jeju National University School of Medicine, 102 Jejudaehakno, Jeju 63243, Korea Tel: +82-64-754-8175 Fax: +82-64-717-1630 E-mail: neurokang@jejunu.ac.kr

Received 13 October 2014 Revised 8 June 2015 Accepted 16 June 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 69-year-old woman presented with a progressive limb weakness. Both clinical and neurophysiological findings were consistent with diagnosis of Guillain-Barré syndrome (GBS). Two days after admission, the patient suffered from an acute coronary syndrome without stenosis at coronary arteriography. Echocardiography revealed left ventricular inferior wall and apical akinesia and decreased ejection fraction. A diagnosis of Takotsubo cardiomyopathy was then made. Left ventricular dysfunction and electrocardiography normalized within one month. Takotsubo cardiomyopathy can be developed as a complication of GBS. (Korean J Clin Neurophysiol 2015;17:73-75)

Keywords: Guillain-Barré, syndrome, Heart failure, Takotsubo cardiomyopathy

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Fig. 1.

Standard 12-lead electrocardiogram and coronary arteriography of the patient. (A) EKG showed negative T wave in anterolateral leads on the 2nd hospital day. (B) EKG abnormality disappeared on the 3rd hospital day. (C) Coronary arteriography showed normal coronary artery.

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