Key result
A 70-year-old woman experienced at least 4 different episodes of Takotsubo syndrome within 5 years during acute COPD exacerbations.
Why the study?
Recurrent Takotsubo syndrome in COPD is exceptionally rare, with only a handful of clinical cases previously reported.
Case Report (n=1)
Highlights the rare occurrence of frequently recurrent Takotsubo syndrome triggered by acute COPD exacerbations, emphasizing diagnostic challenges.
Recurrent bronchogenic TTS in COPD remains rare; this case extends sparse reports but leaves open diagnostic criteria and management.
Cardiovascular disease is common among patients with chronic obstructive pulmonary disease (COPD). Takotsubo syndrome (TTS) is a transient cardiac disorder that, in its typical form, involves left ventricular dysfunction with apical ballooning and mimics acute coronary syndrome (ACS). "Bronchogenic TTS" has been proposed as a specific form of TTS (during severe acute dyspnea in asthma or COPD) with atypical presentation. Recurrent TTS in COPD seems to be exceptionally rare since only a handful of clinical cases have previously been reported in the literature. Here, we present a unique case of a frequently recurrent TTS during COPD exacerbation in a 70-year-old woman, with at least 4 different episodes of TTS within 5 years. This case report exemplifies the difficulties of the diagnosis of TTS at the onset of acute COPD exacerbation. Potential pathophysiological mechanisms and therapeutic strategies are also briefly discussed.
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Vaz et al. (2019) conducted a case report in Takotsubo syndrome in COPD (n=1). COPD exacerbation was evaluated on Recurrent Takotsubo syndrome. A 70-year-old woman experienced at least 4 different episodes of Takotsubo syndrome within 5 years during acute COPD exacerbations.
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