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

Xuan Ye, Sultana Aziza, Sean Gomes, William Lancashire, Paul S. Thomas
  • 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 | paul.thomas@unsw.edu.au

Abstract

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.

Keywords

vocal cord dysfunction, takotsubo cardiomyopathy, tracheostomy; neurogenic pulmonary oedema, negative pressure pulmonary oedema.

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Submitted: 2011-06-02 14:19:33
Published: 2011-08-11 17:11:56
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Copyright (c) 2011 Xuan Ye, Sultana Aziza, Sean Gomes, William Lancashire, Paul S. Thomas

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