Key result
Conservative management without PCI achieves complete LVEF recovery in a Takotsubo syndrome patient with CAD.
Why the study?
Although Takotsubo syndrome was traditionally considered to occur without coronary artery disease, recent evidence shows significant coronary lesions can coexist, necessitating multimodal imaging for diagnosis and management.
Population
A 72-year-old woman with hypertension and dyslipidaemia presenting with acute chest pain
Design
Case report
Follow-up
Three months
Authors
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Cardiac MRI may prevent unnecessary revascularization in Takotsubo with CAD; leaves open prospective confirmation.
Case Report (n=1)
Multimodal imaging, particularly cardiac MRI, is essential to accurately diagnose Takotsubo syndrome when it coexists with obstructive coronary artery disease, thereby preventing unnecessary revascularization.
Khawla et al. (2026) conducted a case report in Takotsubo Syndrome coexisting with Coronary Artery Disease (n=1). Conservative management (beta-blockade, ACE inhibition, aspirin) was evaluated on LVEF recovery and symptom status. Conservative management without percutaneous coronary intervention led to complete LVEF recovery at six weeks and asymptomatic status at three months in a patient with Takotsubo syndrome and CAD.
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