Key result
Stress cardiomyopathy following status epilepticus in pregnancy resolves fully within 3 weeks with normal delivery.
Case Report (n=1)
Takotsubo syndrome triggered by status epilepticus during pregnancy can resolve fully within weeks and does not necessarily preclude future uncomplicated pregnancies.
Hypothesis-generating for Takotsubo management in pregnancy; leaves open need for prospective data on recurrence and outcomes.
Stress cardiomyopathy (Takotsubo syndrome) is a rare and transient cardiac dysfunction that has been reported in pregnant women with multiple triggering conditions. In general, those cases recovered from the acute cardiac insult within a few weeks. We report a 33-year-old 22 weeks pregnant woman, who presented with an episode of status epilepticus and subsequently developed acute heart failure. She had full recovery within three weeks and continued her pregnancy till term. She became pregnant again two years after this initial insult, remained asymptomatic with stable cardiac function and had normal vaginal delivery at term.
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Harb et al. (2023) conducted a case report in Takotsubo Syndrome (Stress Cardiomyopathy) (n=1). Status epilepticus was evaluated on Recovery of cardiac function. A 33-year-old pregnant woman developed stress cardiomyopathy following status epilepticus at 22 weeks gestation, but fully recovered cardiac function within three weeks and had a normal delivery.
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