A case of vocal cord dysfunction with Takotsubo cardiomyopathy: is there a link?


Submitted: 2 June 2011
Accepted: 26 July 2011
Published: 11 August 2011
Abstract Views: 1053
PDF: 1160
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Authors

  • Xuan Ye Prince of Wales Clinical School, Faculty of Medicine, University of New South Wales, Australia.
  • Sultana Aziza Department of Respiratory Medicine, Prince of Wales Hospital, Randwick NSW, Australia, Australia.
  • Sean Gomes Department of Cardiology, Prince of Wales Hospital, Randwick NSW, Australia.
  • William Lancashire Port Macquarie Base Hospital, Port Macquarie, NSW, Australia.
  • Paul S. Thomas Prince of Wales Clinical School, Faculty of Medicine, University of New South Wales; Department of Respiratory Medicine, Prince of Wales Hospital, Randwick NSW, Australia.
Vocal cord dysfunction (VCD) is an underrecognised cause of dyspnoea as it is seldom life threatening, and also difficult to diagnose. However, there have been rare accounts of VCD, as in the present case, which have led to haemodynamic instability. This patient with VCD episodically developed acute pulmonary oedema, bilateral pleural effusions and Takotsubo cardiomyopathy, treated effectively with tracheostomy. This presentation hints at the possible existence of a common pathophysiological mechanism, namely, forced inspiration against a closed airway or sympathetic overstimulation.

Ye, X., Aziza, S., Gomes, S., Lancashire, W., & Thomas, P. S. (2011). A case of vocal cord dysfunction with Takotsubo cardiomyopathy: is there a link?. Chest Disease Reports, 5(1), e8. https://doi.org/10.4081/cdr.5.92

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