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Case report
peer-reviewed

Choke Attack: Atypical Cardiomyopathy Subsequent to Postnasal Drip



Abstract

Midventricular ballooning syndrome, an atypical presentation of takotsubo cardiomyopathy (TCM), presents with transient wall motion abnormalities of the midsegment of the left ventricle with apical sparing. In midventricular TCM, apical contractility is unaffected or may be hyperkinetic in contrast to the typical form of TCM. We report a case of atypical TCM, wherein the patient presented with chest pain following choking and coughing spells due to a postnasal drip.



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Case report
peer-reviewed

Choke Attack: Atypical Cardiomyopathy Subsequent to Postnasal Drip


Author Information

Kantha R. Kolla Corresponding Author

Cardiology, Mayo Clinic, Scottsdale, AZ

Jaya M. Mehta

Mayo Clinic, Mayo Clinic, Scottsdale, AZ

Hari P. Chaliki

Cardiology, Mayo Clinic, Scottsdale, AZ


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

Choke Attack: Atypical Cardiomyopathy Subsequent to Postnasal Drip


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Case report
peer-reviewed

Choke Attack: Atypical Cardiomyopathy Subsequent to Postnasal Drip

  • Author Information
    Kantha R. Kolla Corresponding Author

    Cardiology, Mayo Clinic, Scottsdale, AZ

    Jaya M. Mehta

    Mayo Clinic, Mayo Clinic, Scottsdale, AZ

    Hari P. Chaliki

    Cardiology, Mayo Clinic, Scottsdale, AZ


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: February 11, 2018

    DOI

    10.7759/cureus.2182

    Cite this article as:

    Kolla K R, Mehta J M, Chaliki H P (February 11, 2018) Choke Attack: Atypical Cardiomyopathy Subsequent to Postnasal Drip. Cureus 10(2): e2182. doi:10.7759/cureus.2182

    Publication history

    Received by Cureus: November 27, 2017
    Peer review began: February 07, 2018
    Peer review concluded: February 08, 2018
    Published: February 11, 2018

    Copyright

    © Copyright 2018
    Kolla et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Midventricular ballooning syndrome, an atypical presentation of takotsubo cardiomyopathy (TCM), presents with transient wall motion abnormalities of the midsegment of the left ventricle with apical sparing. In midventricular TCM, apical contractility is unaffected or may be hyperkinetic in contrast to the typical form of TCM. We report a case of atypical TCM, wherein the patient presented with chest pain following choking and coughing spells due to a postnasal drip.



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