Abstract
IntroductionStress-induced (Takotsubo) cardiomyopathy is a rare form of cardiomyopathy which presents in a manner similar to that of acute coronary syndrome. This sometimes leads to unnecessary thrombolysis therapy. The pathogenesis of this disease is still poorly understood. We believe that reporting all cases of Takotsubo cardiomyopathy will contribute to a better understanding of this disease. Here, we report a patient who, in the absence of any recent stressful events in her life, developed the disease after a session of dancing.Case presentationA 69-year-old Caucasian woman presented with features suggestive of acute coronary syndrome shortly after a session of dancing. Echocardiography and a coronary angiogram showed typical features of Takotsubo cardiomyopathy and our patient was treated accordingly. Eight weeks later, her condition resolved completely and the results of echocardiography were totally normal.ConclusionsTakotsubo cardiomyopathy, though transient, is a rare and serious condition. Although it is commonly precipitated by stressful life events, these are not necessarily present. Our patient was enjoying one of her hobbies (that is, dancing) when she developed the disease. This case has particular interest in medicine, especially for the specialties of cardiology and emergency medicine. We hope that it will add more information to the literature about this rare condition.
Highlights
Stress-induced (Takotsubo) cardiomyopathy is a rare form of cardiomyopathy which presents in a manner similar to that of acute coronary syndrome
Takotsubo cardiomyopathy (TCM), or stress-induced cardiomyopathy, is a rare disease that has been increasingly reported during the last decade
Patients present with chest pain that usually follows a stressful condition, electrocardiogram (ECG) changes (ST-segment elevation or T-wave inversion or both), and minor elevation of the cardiac markers [3]
Summary
TCM is an uncommon, though a potentially serious, condition. It is commonly precipitated by stressful life events, these are not necessarily present. Further reporting and studies in this area are required. A well-designed primary PCI or urgent coronary angiography service should be established. Consent Written informed consent was obtained from the patient for publication of this case report and any accompanying images. Authors’ contributions MAK was the major contributor in studying the case and writing the manuscript and was involved in the medical care of the patient. AY performed the echocardiography and the coronary angiography. TGH is the head of the department and the consultant cardiologist responsible for the medical care of the patient. All authors read and approved the final manuscript. Competing interests The authors declare that they have no competing interests
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