Recurrent takotsubo cardiomyopathy can be precipitated by mild physical stress and may fully resolve with conservative management, suggesting underlying patient-specific predispositions.
Recurrent takotsubo after mild stress may recover with conservative care; leaves open predisposing factors and recurrence risk.
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.
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Pathak et al. (2010) studied this question.
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