This case highlights that severe hyponatremia and seizure can act as combined triggers for Takotsubo cardiomyopathy.
Alerts clinicians to consider Takotsubo in seizure with hyponatremia; extends known triggers but remains hypothesis-generating.
Takotsubo cardiomyopathy (TTC) is characterized by transient systolic dysfunction of the left ventricle and changes of electrocardiographic or cardiac markers, resembling an acute coronary syndrome. Although the etiology of TTC is still unknown, a wide variability in the psychological and physical triggers for TTC is present. In this article, we describe the case of 69-year-old female with a history of epilepsy and who presented in the emergency room with a new-onset generalized tonic-clonic seizure activity. After finding out that her biochemistry results indicated severe hyponatremia, a diagnosis of TTC was established through echocardiography and angiography.
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Ersin Çağrı Şimşek (2018) studied this question.
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