Key result
Takotsubo cardiomyopathy presents in classic and variant forms, such as reverse Takotsubo, and can be triggered by diverse physical stressors including surgery, anticholinergic toxicity, asthma, and myasthenic crisis.
Why the study?
Although apical ballooning is the most common presentation of Takotsubo cardiomyopathy, highlighting its less common variants is important.
Case Report (n=4)
This case series and literature review highlights the clinical presentation of less common variants of Takotsubo Cardiomyopathy.
Alerts clinicians to atypical TCMP variants in ACS; single case leaves open prevalence and management questions.
Over the years, Takotsubo Cardiomyopathy (TCMP) has become increasingly apparent, now comprising a significant portion of patients presenting with suspected acute coronary syndrome. The most common presentation of TCMP is ST segment elevation on EKG, troponin elevation, and apical ballooning in the absence of significant coronary artery disease as seen via cardiac catheterization. Although this is the most common presentation, it is important to highlight the less common variants of TCMP. In this article, we present a case series of patients presenting with the different variants of TCMP, followed by a literature review.
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Hasan et al. (2020) conducted a case report in Takotsubo cardiomyopathy (n=4). Physical and emotional stressors was evaluated. Takotsubo cardiomyopathy presents in classic and variant forms, such as reverse Takotsubo, and can be triggered by diverse physical stressors including surgery, anticholinergic toxicity, asthma, and myasthenic crisis.
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