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Takotsubo cardiomyopathy: a case report

Sandeep Johar1, Heramba Prasad, Hani Kozman

  • 1Department of Emergency Medicine, State University of New York (SUNY) Upstate Medical University, Syracuse, New York 13210, USA.

The Journal of Emergency Medicine
|January 24, 2007
PubMed

Insights

A woman experienced chest discomfort and elevated cardiac markers, leading to a diagnosis of Takotsubo cardiomyopathy. This stress-induced condition mimicked a heart attack but with normal coronary arteries.

Area of Science:

  • Cardiology
  • Psychocardiology

Background:

  • Takotsubo cardiomyopathy (TTC), or stress-induced cardiomyopathy, is an acute cardiac syndrome.
  • It is often triggered by emotional or physical stress, presenting with symptoms mimicking myocardial infarction.

Observation:

  • A 57-year-old woman presented with chest discomfort following a stressful court testimony.
  • Electrocardiography (ECG) showed ST-segment elevation and T-wave inversions, indicative of acute cardiac injury.
  • Cardiac biomarkers (creatine kinase, troponin I) were elevated, further suggesting myocardial damage.

Findings:

  • Coronary angiography revealed unobstructed coronary arteries, ruling out obstructive coronary artery disease.
  • A left ventricular angiogram identified an apical aneurysm, a characteristic finding in TTC.
  • The patient was diagnosed with Takotsubo cardiomyopathy based on clinical presentation, ECG, biomarkers, and angiographic findings.

Implications:

  • This case highlights the importance of considering TTC in patients with acute cardiac symptoms and normal coronary arteries, especially after significant emotional stress.
  • Early diagnosis and management of TTC are crucial to prevent complications and ensure patient recovery.
  • Understanding the link between psychological stress and cardiac events is vital for comprehensive patient care.

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