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Published on: September 19, 2019
How many times can a heart be broken?
Tommy Mulleners1, Dagmara Dilling-Boer, Edouard Benit
1Hartcentrum Hasselt, Virga Jesse Hospital, Hasselt, Belgium. tommy.mulleners@virgajesse.be
Insights
Takotsubo cardiomyopathy, also known as stress-induced cardiomyopathy, mimics heart attacks but is caused by emotional or physical stress. This condition can occur multiple times in patients, as shown in this case report.
Area of Science:
- Cardiology
- Internal Medicine
Background:
- Stress-induced cardiomyopathy, also known as takotsubo cardiomyopathy or 'broken heart' syndrome, is an increasingly recognized condition.
- It presents similarly to acute myocardial infarction but without significant coronary artery disease.
Observation:
- This case report details a patient experiencing recurrent episodes of stress-induced cardiomyopathy.
- The syndrome is characterized by extensive ventricular dysfunction with minimal elevation in cardiac enzymes.
Findings:
- Takotsubo cardiomyopathy is triggered by acute emotional or physical stress.
- Angiography typically reveals no significant obstructive coronary disease in affected individuals.
Implications:
- Understanding the recurrent nature of stress-induced cardiomyopathy is crucial for patient management.
- This highlights the importance of considering non-ischemic causes of cardiac dysfunction in the context of stress.
Abstract:
Stress-induced cardiomyopathy, apical ballooning syndrome, 'broken heart' syndrome or takotsubo cardiomyopathy are different names of the same condition, with the number of reported cases increasing. It mimics an acute myocardial infarction, with extensive ventricular dysfunction, with minimal cardiac enzyme elevation and without significant coronary disease found with angiography. It has been linked to acute emotional or physical stress, hence the name stress-induced cardiomyopathy. This syndrome can be recurrent, as illustrated in this case report.
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