Key result
Supportive medical therapy successfully manages a case of classic Takotsubo syndrome with unprovoked chest pain.
Case Report (n=1)
No
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Most patients with Takotsubo syndrome achieve early recovery, and those with persistent manifestations can be managed medically to prevent cardiac remodeling and recurrence.
Although Takotsubo syndrome (TS) has been long recognized, it is now more frequently identified as a cause of stress-induced cardiac injury since its first description in the 1990s. While most cases are transient, many patients can have acute and long-term effects including persistent or worsening heart failure, arrhythmia, cardiac thrombi, outflow tract obstruction, ventricular wall rupture, and cardiogenic shock. Medical optimization is necessary to prevent cardiac remodeling and disease recurrence and manage associated heart failure. The choice of medications may vary from patient to patient based on the inciting factor or the most probable cause. Anticoagulation can be added for a small period of time if there is a concern for thrombus formation from akinesia/dyskinesia. Most patients achieve early recovery and resolution of symptoms and those with persistent manifestations can be managed medically.
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Shankar et al. (2023) conducted a case report in Takotsubo Syndrome (n=1). Medical management was evaluated on Clinical recovery. A 58-year-old female presenting with unprovoked chest pain was diagnosed with classic Takotsubo syndrome and successfully managed with supportive medical therapy.
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