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Case Reports in Critical Care
Volume 2017, Article ID 4287125, 4 pages
Case Report

DKA-Induced Takotsubo Cardiomyopathy in Patient with Known HOCM

Overlook Medical Center, Summit, NJ, USA

Correspondence should be addressed to Ayla Gordon; gro.htlaehcitnalta@nodrog.alya

Received 8 December 2016; Accepted 9 February 2017; Published 3 April 2017

Academic Editor: Chiara Lazzeri

Copyright © 2017 Ayla Gordon et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The first published case of Diabetic Ketoacidosis-induced Takotsubo cardiomyopathy was in 2009. Our patient is the 1st reported case of Diabetic Ketoacidosis- (DKA-) induced Takotsubo cardiomyopathy (TC) in a patient with known hypertrophic cardiomyopathy (HOCM) in the United States. In the literature, there are only two examples linking DKA to TC; however, this report focuses on the biochemical and physiological causes of TC in a patient with known HOCM and new-onset DKA. TC in previously diagnosed HOCM poses particular complications. With the above patient’s baseline outflow tract obstruction due to septal hypertrophy, the acute reduction in EF due to TC resulted in transient drop in brain perfusion and, therefore, syncope.