Key result
Timely resuscitation and supportive care led to full clinical recovery and normalization of left ventricular ejection fraction in a patient with reverse Takotsubo cardiomyopathy and commotio cordis.
Why the study?
Atypical forms and rare anatomical variants of Takotsubo cardiomyopathy can present differently, making clinical recognition important for appropriate management.
Case Report (n=1)
This case highlights the rare occurrence of reverse Takotsubo cardiomyopathy and commotio cordis following blunt chest trauma, emphasizing the importance of early recognition and prompt resuscitation.
Emphasizes timely resuscitation in commotio cordis with reverse Takotsubo; single case leaves broader applicability open.
Takotsubo cardiomyopathy (TCM), also known as stress cardiomyopathy or "broken heart syndrome", is characterized by acute transient regional left ventricular systolic dysfunction in the absence of obstructive coronary artery disease or acute plaque rupture. Atypical forms and rare anatomical variants can have different presentations; hence, recognition becomes more important. Prognosis is much more favorable if managed appropriately. An equally infrequent cause of cardiac arrest is commotio cordis (CC). This is defined as sudden cardiac death secondary to a blunt chest wall impact leading to ventricular arrhythmias. We report a case with findings of TCM and/or CC in a patient with a blunt chest trauma in the setting of motor vehicle accident.
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Ahmed et al. (2022) conducted a case report in Reverse Takotsubo Cardiomyopathy and Commotio Cordis (n=1). Resuscitation and supportive care was evaluated on Clinical recovery. Timely resuscitation and supportive care led to full clinical recovery and normalization of left ventricular ejection fraction in a patient with reverse Takotsubo cardiomyopathy and commotio cordis.
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