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Review
. 2019 Jan 29;12(1):e225924.
doi: 10.1136/bcr-2018-225924.

Takotsubo cardiomyopathy triggered by status epilepticus: case report and literature review

Savvy Nandal  1 , Anastasia Castles  1 , Muhammad Asrar Ul Haq  1 , William van Gaal  1
Affiliations
Review

Takotsubo cardiomyopathy triggered by status epilepticus: case report and literature review

Savvy Nandal et al. BMJ Case Rep. .

Abstract

Takotsubo cardiomyopathy (TC) is acute stress-induced cardiomyopathy with characteristic transient wall motion abnormalities. TC has a clinical presentation similar to an acute coronary syndrome, including chest pain or dyspnoea, ECG changes and elevated cardiac enzymes. TC often occurs after emotional stress. There are approximately 50 TC cases reported related to seizure activity, and our review revealed 15 articles which were associated with status epilepticus. This condition can be a serious complication of seizures. We report a case of TC after status epilepticus in a patient who had been seizure-free for 20 years.

Keywords: cardiovascular medicine; clinical diagnostic tests; epilepsy and seizures.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figures 1
Figures 1
Normal coronary arteries on angiogram of this patient.
Figures 2
Figures 2
Normal left sided coronary arteries on angiogram.
Figures 3
Figures 3
Left ventriculogram of the patient demonstrating mid ventricular ballooning.
Figures 4
Figures 4
Left ventriculogram demonstrating mid ventricular ballooning and basal and apical sparing.
See this image and copyright information in PMC

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