Highlights the rare occurrence of Takotsubo-shaped cardiomyopathy as an autonomic complication of neuroleptic malignant syndrome.
May prompt clinicians to consider Takotsubo cardiomyopathy in neuroleptic malignant syndrome; leaves open whether this represents a true autonomic complication.
Autonomic disturbance develops commonly in neuroleptic malignant syndrome (NMS). However, the association of cardiomyopathy is rare. Takotsubo-shaped cardiomyopathy is a unique reversible heart syndrome involving autonomic disturbance and mimicking myocardial infarction. We report a 63-year-old woman who developed Takotsubo-shaped cardiomyopathy during the course of NMS. Our case suggests the occurrence of reversible cardiomyopathy as the autonomic involvement of NMS.
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Oomura et al. (2004) studied this question.
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