Recurrent Takotsubo Cardiomyopathy With Variable Patterns and Psychiatric Comorbidities: A Case Report and
Hamza AlKowatli1, Oubada Alkowatli2, Ahmad Karzoun1
1Department of Internal Medicine HCA Blake Hospital Bradenton Florida USA.
Clinical Case Reports
|July 14, 2025
Summary
Takotsubo cardiomyopathy (TTC), a stress-induced heart condition, can present differently in patients. This case highlights emotional stress triggering recurrent TTC with varied presentations, emphasizing integrated care.
Area of Science:
- Cardiology
- Psychiatry
- Internal Medicine
Background:
- Takotsubo cardiomyopathy (TTC) is a transient, stress-induced cardiac syndrome.
- It often mimics acute coronary syndrome but lacks obstructive coronary disease.
Purpose of the Study:
- To report a case of Takotsubo cardiomyopathy with complex psychiatric comorbidities.
- To illustrate the phenotypic variability and recurrence of TTC triggered by emotional distress.
Main Methods:
- Case report of a 50-year-old woman with psychiatric comorbidities.
- Clinical observation and management of apical TTC following emotional distress.
Main Results:
- The patient developed classical apical TTC after acute emotional distress.
- This contrasted with a previous reverse TTC episode during medical illness.
- The condition stabilized with supportive care, anticoagulation, and psychiatric management.
Conclusions:
- TTC exhibits significant phenotypic variability.
- Emotional stress can play a role in TTC recurrence.
- Integrated, multidisciplinary care is crucial for managing TTC, especially with psychiatric comorbidities.
Keywords:
Takotsubo cardiomyopathypsychiatric comorbidityrecurrencestress‐induced cardiomyopathywall‐motion variantsMore Related Videos
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