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Case Reports
. 2009 Jun;6(6):430-4.
doi: 10.1038/nrcardio.2009.51.

Cardiac sympathetic activity in stress-induced (Takotsubo) cardiomyopathy

Abhiram Prasad  1 , Malini Madhavan, Panithaya Chareonthaitawee
Affiliations
Case Reports

Cardiac sympathetic activity in stress-induced (Takotsubo) cardiomyopathy

Abhiram Prasad et al. Nat Rev Cardiol. 2009 Jun.

Abstract

Background: A 54-year-old postmenopausal woman presented with retrosternal chest pressure, nausea, and vomiting of 4 h duration. Her medical history included hypertension (treated with metoprolol and ramipril), hyperlipidemia (treated with atorvastatin), and depression (treated with fluoxetine). A few hours before symptom onset, she had witnessed an accident in which her sister sustained serious injuries. The patient was visiting her sister-who was in critical condition in the hospital-when the symptoms began.

Investigations: Physical examination, chest radiography, laboratory testing, electrocardiography, coronary angiography, and PET with 11C hydroxyephedrine.

Diagnosis: Stress-induced (Takotsubo) cardiomyopathy (apical ballooning syndrome).

Management: The patient was monitored with cardiac telemetry. Metoprolol and ramipril were continued.

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