Key result
A 64-year-old woman developed acute pericarditis during the recovery phase of takotsubo cardiomyopathy, with symptoms and inflammation resolving after administration of a nonsteroidal anti-inflammatory drug.
Case Report (n=1)
No
This is the first reported case of acute pericarditis occurring as a complication in the recovery phase of takotsubo cardiomyopathy.
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Recurrent symptoms possible in takotsubo; hypothesis-generating case report requiring prospective validation.
A 64-year-old woman was admitted because of persistent chest pain and ST-elevation in the precordial and inferior leads on electrocardiogram. Emergent coronary angiography demonstrated that there was no obstruction, and left ventriculography showed apical akinesis and basal hyperkinesis. She was diagnosed with takotsubo cardiomyopathy. Chest pain subsided within the day of admission followed by T-wave inversion on electrocardiogram. Nevertheless, chest pain and ST-elevation reappeared late on the third hospital day, accompanied by fever and small amounts of pericardial and pleural effusions. Under the administration of nonsteroidal anti-inflammatory drug, the inflammation lessened. This is the first report of acute pericarditis in the recovery phase of takotsubo cardiomyopathy.
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Maruyama et al. (2007) conducted a case report in Takotsubo cardiomyopathy and acute pericarditis (n=1). Nonsteroidal anti-inflammatory drug was evaluated on Resolution of chest symptoms and fever. A 64-year-old woman developed acute pericarditis during the recovery phase of takotsubo cardiomyopathy, with symptoms and inflammation resolving after administration of a nonsteroidal anti-inflammatory drug.
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