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Case Reports
. 2020 Sep 22;12(9):e10599.
doi: 10.7759/cureus.10599.

Seizure-Associated Takotsubo Cardiomyopathy

Juliette Conte  1 , Michael J Yoo  1 , Neil P Larson  1
Affiliations
Case Reports

Seizure-Associated Takotsubo Cardiomyopathy

Juliette Conte et al. Cureus. .

Abstract

Takotsubo cardiomyopathy (TCOM) is a syndrome characterized by acute systolic dysfunction that can mimic acute coronary syndrome (ACS), usually incited by physical or emotional stress. However, acute neurological dysfunction, including seizures, has been recently described as an additional risk factor for the development of TCOM. This specific case report reviews the pathophysiology of TCOM and its management. We emphasize that providers should maintain a high index of suspicion for TCOM after acute neurologic dysfunction in patients with chest pain or hemodynamic instability, while also initiating proper investigation for ACS. Although classically thought of as a transient process, recent data show that both in-hospital and post-hospital morbidity and mortality related to this condition remain concerning.

Keywords: cardiomyopathy; seizure; systolic heart failure; takotsubo.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Transthoracic echocardiogram demonstrating mid to apical inferior and inferior lateral akinesis (white arrows)
Figure 2
Figure 2. Electrocardiogram demonstrating diffuse ST-segment elevations without reciprocal depressions
See this image and copyright information in PMC

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