Reverse Takotsubo Syndrome Heralding As Ventricular Fibrillation: a Case Report

Overview

Journal Ann Med Surg (Lond)

Publisher Wolters Kluwer

Specialty Medical Education

Date 2023 Jul 10

PMID 37427166

Authors

Arjun Basnet

Nava R Sharma

Saral Lamichhane

Kripa Tiwari

Jeffy Varghese

Sajog Kansakar

Sudarshan Gautam

Affiliations

Soon will be listed here.

Abstract

Case Presentation: The authors present a case of a 49-year-old woman, a vice principal at a local school with a history of hypertension, who was brought to our center after she collapsed while giving a graduation speech. Reverse takotsubo was a presumed diagnosis after we ruled out other differentials.

Clinical Discussion: The pathophysiology of reverse takotsubo syndrome is poorly understood. It might be due to a different pattern of catecholamine-mediated myocardial dysfunction than classic takotsubo cardiomyopathy. It is often associated with physical and/or emotional stressors.

Conclusion: Supportive treatment and identification and prevention of triggers can reduce the recurrence of reverse takotsubo cardiomyopathy. Physicians should be aware of various triggers for this condition.

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