Takotsubo cardiomyopathy after electroconvulsive therapy.

Area of Science:

• Cardiology
• Neurology

Background:

• Takotsubo cardiomyopathy is an acute cardiac syndrome involving transient left-ventricular dysfunction.
• It is often associated with significant emotional or physical stress.

Observation:

• This is the second reported case of takotsubo cardiomyopathy following electroconvulsive therapy (ECT).
• A 52-year-old woman developed chest pain post-ECT, exhibiting characteristic left-ventricular dysfunction.

Findings:

• The patient presented with mid-cavity hypokinesis and basal hyperkinesis, consistent with takotsubo cardiomyopathy.
• Symptoms resolved completely within 48 hours, demonstrating rapid recovery.

Implications:

• This case highlights ECT as a potential stressor for takotsubo cardiomyopathy.
• Early recognition and supportive treatment are crucial for favorable outcomes in stress-induced cardiomyopathy.