Key result
Intense emotional stress induced recurrent Takotsubo cardiomyopathy in a 51-year-old woman, presenting as acute coronary syndrome with reversible left ventricular regional wall motion abnormalities.
Case Report (n=1)
This case highlights that Takotsubo cardiomyopathy can recur in the same patient following intense emotional stress, mimicking acute coronary syndrome but with complete recovery.
Recognizing recurrent Takotsubo after intense stress aids ACS differential diagnosis; leaves open prevention strategies and recurrence risk in larger cohorts.
Recurrent Takotsubo cardiomyopathy is a relatively uncommon condition seen in patients with severe physical or emotional stress. We report a case of a 51-year-old woman who had recurrent Takotsubo cardiomyopathy with involvement of apical left ventricular (LV) segments, induced by intense emotional stress. On two occasions she presented with symptoms of acute coronary syndrome accompanied by LV regional wall motion abnormalities without a culprit coronary stenosis, and exhibited complete resolution of symptoms and restoration of normal LV wall motion.
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Mainali et al. (2013) conducted a case report in Recurrent Takotsubo cardiomyopathy (n=1). Intense emotional stress was evaluated on Recurrent Takotsubo cardiomyopathy with involvement of apical left ventricular segments. Intense emotional stress induced recurrent Takotsubo cardiomyopathy in a 51-year-old woman, presenting as acute coronary syndrome with reversible left ventricular regional wall motion abnormalities.
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