Status epilepticus is a recognized, albeit rare, trigger for Takotsubo cardiomyopathy that clinicians should be aware of as a serious complication.
Supports vigilance for Takotsubo cardiomyopathy after status epilepticus; extends sparse case reports but leaves open need for confirmatory studies.
Takotsubo cardiomyopathy (TC) is acute stress-induced cardiomyopathy with characteristic transient wall motion abnormalities. TC has a clinical presentation similar to an acute coronary syndrome, including chest pain or dyspnoea, ECG changes and elevated cardiac enzymes. TC often occurs after emotional stress. There are approximately 50 TC cases reported related to seizure activity, and our review revealed 15 articles which were associated with status epilepticus. This condition can be a serious complication of seizures. We report a case of TC after status epilepticus in a patient who had been seizure-free for 20 years.
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Nandal et al. (2019) studied this question.
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