Takotsubo Cardiomyopathy in Elderly Female Trauma Patients

A Case Series

Vishal Patel; Shuli Levy; Iqbal Malik; Michael B. Fertleman; Louis J. Koizia


J Med Case Reports. 2021;15(451) 

In This Article


Since its initial reports in 1990, Takotsubo cardiomyopathy is being increasingly reported, particularly in elderly females following trauma. The severity of this syndrome ranges from mild symptoms, as presented in our cases, to life-threatening cardiogenic shock and pulmonary edema. It remains an important differential diagnosis for ACS. For patients requiring surgical management, delays in the diagnosis of Takotsubo cardiomyopathy may lead to postponement of urgent operative management. This may impact on length of hospital stay, time to recovery, as well as increased morbidity and mortality, not only due to the delays but to the use of antiplatelet medication. To aid the prompt diagnosis of Takotsubo cardiomyopathy in patients requiring surgery, we advocate a multidisciplinary approach with combined decision making from physicians, cardiologists, anesthetists, and surgical teams.