0
Correspondence |

Recurrent Right Ventricular Takotsubo Syndrome in a Diabetic Patient With DysautonomiaTakotsubo Syndrome in Diabetes With Dysautonomia FREE TO VIEW

John E. Madias, MD
Author and Funding Information

From the Icahn School of Medicine at Mount Sinai; and the Division of Cardiology, Elmhurst Hospital Center.

CORRESPONDENCE TO: John E. Madias, MD, Division of Cardiology, Elmhurst Hospital Center, 79-01 Broadway, Elmhurst, NY 11373; e-mail: madiasj@nychhc.org


FINANCIAL/NONFINANCIAL DISCLOSURES: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;146(2):e73. doi:10.1378/chest.14-0765
Text Size: A A A
Published online
To the Editor:

I read with interest the abstract by Sta. Cruz and Codolosa1 published recently in CHEST (March 2014), about a diabetic patient with recurrent isolated right ventricular Takotsubo syndrome in the setting of diabetic ketoacidosis and pulmonary aspiration. The authors ascribe the recurrent Takotsubo syndrome in their patient to dysautonomia, as inferred from the bradycardia and the “elevated pressures of the upper and lower esophageal sphincters suggestive of increased vagal tone.”1 Do the authors imply that there was diminished autonomic sympathetic activity and a resultant increased influence of the parasympathetic autonomic nervous system? If this is the position of the authors, why was there an enhanced “hypercontractility of the basal segments” of the right ventricle, a response that customarily should be attributed to the contractility-enhancing sympathetic component of the autonomic nervous system? Alternatively, one could hypothesize that the different parts of the right ventricle were under the influence of the two different components of the autonomic nervous system.

References

Sta. Cruz JP, Codolosa J. Recurrent right ventricular Takotsubo cardiomyopathy in a diabetic patient with recurrent aspiration [abstract]. Chest. 2014;145(3_MeetingAbstracts):65A.
 

Figures

Tables

References

Sta. Cruz JP, Codolosa J. Recurrent right ventricular Takotsubo cardiomyopathy in a diabetic patient with recurrent aspiration [abstract]. Chest. 2014;145(3_MeetingAbstracts):65A.
 
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543