A Unique Case of Recurrent Takotsubo Cardiomyopathy

Himanshu Pathak, MD; Jason Esses, MD; Swati Pathak, MD; Robert Frankel, MD; Gerald Hollander, MD

Disclosures

South Med J. 2010;103(8):805-806. 

In This Article

Abstract and Introduction

Abstract

Takotsubo (stress induced) cardiomyopathy is also known as broken heart syndrome or transient left ventricular apical ballooning syndrome. The clinical presentation, which mimics acute myocardial infarction, is preceded by intense emotional or physical stress. Recurrence of apical ballooning syndrome seems to be rare. We present a case of recurrent takotsubo cardiomyopathy precipitated by relatively mild physical stress. There was full recovery with conservative management. This suggests that there are presently unknown patient-specific characteristics that predispose patients to takotsubo cardiomyopathy.

Introduction

Takotsubo (stress induced) cardiomyopathy is also known as broken heart syndrome or apical ballooning syndrome. The clinical presentation, which mimics acute myocardial infarction, is preceded by a very stressful physical or emotional event.[1–6] Recurrences of this syndrome are rare and infrequently recorded. We present a case of recurrent episodes of takotsubo cardiomyopathy, each precipitated by relatively mild physical stress.

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