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Intracranial Hemorrhage Induced Takotsubo Cardiomyopathy: A Case Report
Henry Mann1, Sindhu C Pokhriyal1, Josef Kusayev2
1Internal Medicine, One Brooklyn Health System Interfaith Medical Center, Brooklyn, USA.
Insights
Takotsubo cardiomyopathy, or "broken heart syndrome," can be triggered by physical stress. This case highlights intracranial hemorrhage as a rare cause of this reversible cardiac dysfunction.
Area of Science:
- Cardiology
- Neurology
Background:
- Takotsubo cardiomyopathy (TCM), or stress-induced cardiomyopathy, is a reversible cardiac dysfunction.
- It typically presents in postmenopausal women following emotional or physical stress.
- Coronary artery disease is notably absent in TCM.
Observation:
- An 80-year-old female presented with syncope.
- The patient experienced an intracranial hemorrhage.
Findings:
- The intracranial hemorrhage induced takotsubo cardiomyopathy.
- This case demonstrates a unique association between neurological events and TCM.
Implications:
- Intracranial hemorrhage should be considered in the differential diagnosis of syncope, especially in elderly patients.
- This case expands the understanding of potential triggers for stress-induced cardiomyopathy.
Abstract:
Takotsubo cardiomyopathy, also known as stress-induced cardiomyopathy or "broken heart syndrome," is a reversible cardiac disorder characterized by left ventricular dysfunction without significant obstructive coronary artery disease. It is classically secondary to emotional stress in postmenopausal women but can also be secondary to physical stress. This report presents a unique case of takotsubo cardiomyopathy induced by intracranial hemorrhage in an 80-year-old female who presented with syncope.
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