Key result
Reverse takotsubo syndrome triggered by emotional stress presents as VF in a 49-year-old woman.
Case Report (n=1)
No
Reverse takotsubo syndrome can present as ventricular fibrillation triggered by emotional stress, highlighting the need for awareness of various triggers and supportive management.
Emotional stress may trigger reverse takotsubo presenting as VF; extends known precipitants but case-level data leave practice implications open.
Reverse takotsubo syndrome, a variant of takotsubo cardiomyopathy, is an acute left ventricular failure characterized by the basal akinesis/hypokinesis associated with apical hyperkinesis. Its presentation is similar to that of the acute coronary syndrome. Case presentation: The authors present a case of a 49-year-old woman, a vice principal at a local school with a history of hypertension, who was brought to our center after she collapsed while giving a graduation speech. Reverse takotsubo was a presumed diagnosis after we ruled out other differentials. Clinical discussion: The pathophysiology of reverse takotsubo syndrome is poorly understood. It might be due to a different pattern of catecholamine-mediated myocardial dysfunction than classic takotsubo cardiomyopathy. It is often associated with physical and/or emotional stressors. Conclusion: Supportive treatment and identification and prevention of triggers can reduce the recurrence of reverse takotsubo cardiomyopathy. Physicians should be aware of various triggers for this condition.
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Basnet et al. (2023) conducted a case report in Reverse takotsubo syndrome (n=1). Supportive treatment was evaluated. Reverse takotsubo syndrome, triggered by the emotional stress of giving a graduation speech, presented as ventricular fibrillation in a 49-year-old woman.
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