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Takotsubo cardiomyopathy with Guillain-Barré syndrome
Dalvir Gill1, Vanessa Goyes Ruiz1, Ryan Dean1
1Department of Internal Medicine (Gill, Ruiz, Dean) and Division of Cardiology (Liu), State University of New York Upstate Medical University, Syracuse, New York.
Abstract:
A 70-year-old woman presented with progressive lower extremity weakness and heaviness accompanied with chest pain. Troponin T was elevated, and an echocardiogram showed a left ventricular ejection fraction of 30% and a hypokinetic left ventricular apex. Neurophysiologic testing was consistent with Guillain-Barré syndrome, which was treated with intravenous immunoglobulin therapy. Repeat echocardiogram showed an improved left ventricular ejection fraction and no left ventricular wall motion abnormalities. Takotsubo cardiomyopathy is a rare complication of Guillain-Barré syndrome; less than 10 cases have been reported.
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