Case Reports
Vol. 5 (2015)
https://doi.org/10.4081/cdr.5.92

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

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Received: 2 June 2011
Published: 11 August 2011
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vocal cord dysfunction, takotsubo cardiomyopathy, tracheostomy, neurogenic pulmonary oedema, negative pressure pulmonary oedema.
Pulmonology, Cardiology, Critical Care

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
paul.thomas@unsw.edu.au
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.

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A case of vocal cord dysfunction with Takotsubo cardiomyopathy: is there a link?. (2011). Chest Disease Reports, 5(1), e8. https://doi.org/10.4081/cdr.5.92
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