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A True Case of a Broken Heart With Takotsubo Cardiomyopathy

Michelle Wallen1, Graham E Kupsaw2, Latha Ganti3,1,4

  • 1Emergency Medicine, University of Central Florida College of Medicine, Orlando, USA.

Cureus
|February 21, 2022
PubMed

Insights

Takotsubo cardiomyopathy, or "broken heart" syndrome, causes temporary heart muscle weakening that mimics a heart attack. This case highlights a patient presenting with chest pain due to stress-induced cardiomyopathy.

Area of Science:

  • Cardiology
  • Cardiovascular Medicine
  • Clinical Case Study

Background:

  • Takotsubo cardiomyopathy, also known as stress-induced cardiomyopathy, presents with transient left ventricular (LV) systolic dysfunction.
  • It is often mistaken for myocardial infarction due to similar clinical presentations.

Observation:

  • A patient presented to the emergency room with chest pain.
  • The symptoms mimicked non-ST elevation myocardial infarction.

Findings:

  • The patient was diagnosed with true stress-induced cardiomyopathy.
  • Characteristic LV apical ballooning was observed.

Implications:

  • This case underscores the importance of considering Takotsubo cardiomyopathy in patients presenting with acute chest pain.
  • Accurate diagnosis is crucial to differentiate it from myocardial infarction and guide appropriate management.
  • Understanding stress-induced cardiomyopathy improves patient outcomes and clinical practice.

Keywords:
cardiomyopathiesheart ventriclesleft ventricletakotsubo cardiomyopathyventricular dysfunction

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