Retrospective application of the InterTAK score and medical history review identified that a 40-year-old woman had experienced four episodes of Takotsubo syndrome triggered by psychological stress.
Case Report (n=1)
Careful history-taking and application of the InterTAK score can help identify recurrent Takotsubo syndrome in patients with a history of recurrent acute coronary syndromes or myocarditis following psychological stress.
Recurrence of Takotsubo syndrome (TS) is the most significant challenge in the long-term follow-up of patients with TS. We present the case of a 40-year-old woman with a history of two acute coronary syndromes and myocarditis who was hospitalized in our clinic due to Takotsubo syndrome. Left ventriculography demonstrated the rare mid-ventricular variant of Takotsubo syndrome. Based on a carefully obtained medical history, it was established that all previous coronary events, as well as the current TS episode, had been preceded by psychological stress. Following an additional review of the patient’s medical records and application of the InterTAK score, we concluded that the previous incidents may have been episodes of TS and that the patient had now experienced her fourth episode of Takotsubo syndrome.
Zalewska-Adamiec et al. (Fri,) conducted a case report in Takotsubo syndrome (n=1). InterTAK score was evaluated on Diagnosis of recurrent Takotsubo syndrome. Retrospective application of the InterTAK score and medical history review identified that a 40-year-old woman had experienced four episodes of Takotsubo syndrome triggered by psychological stress.