This case highlights the potential for recurrent takotsubo cardiomyopathy to occur in the setting of transient neurological symptoms.
Suggests monitoring recurrent takotsubo in transient neurological events; leaves open generalizability and need for prospective data.
Though the exact etiology of takotsubo cardiomyopathy is unclear, a neurohumoral mechanism has been proposed. Recurrence of this disorder is rare, though it has been reported in patients with structural brain abnormalities. This report is the first to describe recurrent takotsubo cardiomyopathy in a patient with transient neurological symptoms. In our patient, as expected in patients with this condition, complete resolution of all left ventricular abnormalities occurred within a short period of time. It is important for clinicians to be aware of this increasingly recognized syndrome, including its association with recurrence, especially in the clinical setting of neurologic dysfunction.
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Sardar et al. (2011) studied this question.
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