Key result
A man in his 80s with Takotsubo syndrome and myasthenic crisis complicated by shock was successfully managed with intubation and IABP, without MG-specific treatment.
Case Report (n=1)
No
Takotsubo syndrome with myasthenic crisis complicated by shock can be successfully managed with mechanical circulatory support (IABP) and ventilation without immediate MG-specific treatment.
May support avoiding immediate MG-specific therapies in shocked Takotsubo-myasthenic patients; leaves open generalizability beyond this case.
A man in his 80s with myasthenia gravis (MG) developed dysmobility and chest discomfort. An electrocardiogram revealed ST-segment elevation, and coronary angiography revealed Takotsubo syndrome (TTS). He experienced myasthenic crisis that required ventilation and shock that was refractory to vasopressors and required intra-aortic balloon pump (IABP) insertion. He was managed conservatively without MG-specific treatment until his hemodynamics improved. On hospital day 6, he was weaned from IABP. MG is a high-risk condition for TTS, and TTS with myasthenic crisis (MC) is associated with high mortality. We successfully managed this case of TTS with MC with intubation and IABP, without MG-specific treatment.
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Omiya et al. (2024) conducted a case report in Myasthenia gravis, Takotsubo syndrome, myasthenic crisis, shock (n=1). Intubation and intra-aortic balloon pump (IABP) was evaluated on Clinical recovery. A man in his 80s with Takotsubo syndrome and myasthenic crisis complicated by shock was successfully managed with intubation and IABP, without MG-specific treatment.
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