Key result
A 75-year-old female experienced sudden death from cardiac rupture secondary to Takotsubo cardiomyopathy, an extremely rare complication with only 20 other cases identified in the literature.
Why the study?
Cardiac rupture in the setting of Takotsubo cardiomyopathy is an extremely rare phenomenon with limited published case reports.
Case Report (n=1)
Cardiac rupture is an extremely rare but fatal complication of Takotsubo cardiomyopathy.
Cardiac rupture in TCM warrants vigilance despite rarity; limited case reports leave open risk stratification and management.
Takotsubo cardiomyopathy (TCM), also known as broken heart syndrome or stress-induced cardiomyopathy, is a rare condition with an estimated incidence of 0.02% of all hospitalizations in United States and 2% of all acute coronary syndrome presentations. TCM predominately presents as a transient wall motion abnormality of the left ventricular apex due to emotional or physical stress. Cardiac rupture in the setting of TCM is an extremely rare phenomenon with limited published case reports. We present a case of a 75-year-old female who had cardiac rupture secondary to TCM and performed a literature review using Ovid MEDLINE for published cases showing this association. After the literature review, we found 20 cases showing this association, which are listed in a tabular fashion.
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Dalia et al. (2019) conducted a case report in Takotsubo cardiomyopathy with cardiac rupture (n=1). Takotsubo cardiomyopathy was evaluated on Sudden death. A 75-year-old female experienced sudden death from cardiac rupture secondary to Takotsubo cardiomyopathy, an extremely rare complication with only 20 other cases identified in the literature.
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