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Case Reports
. 2022 Dec 10;14(12):e32384.
doi: 10.7759/cureus.32384. eCollection 2022 Dec.

Emotional Stress Induced Broken Heart Syndrome: A Case Report

Affiliations
Case Reports

Emotional Stress Induced Broken Heart Syndrome: A Case Report

Lim Wei Juan et al. Cureus. .

Abstract

Takotsubo syndrome (TTS) is a medical condition mostly due to emotional or physical stress which frequently leads to misdiagnosis or late diagnosis. Patients tend to present initially with acute heart failure or acute coronary syndrome to our emergency department. Here we describe a patient with no history of cardiovascular disease, who developed TTS due to emotional stress from the death of her husband and then fully recovered during follow-up.

Keywords: broken heart syndrome; covid-19; minoca; stress cardiomyopathy; takotsubo syndrome.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Electrocardiogram was done showed T wave inversion in lead I, aVL, V2 to V5
Figure 2
Figure 2. Transthoracic echocardiogram showed apical hypokinesia with ballooning (red arrow)
Figure 3
Figure 3. Normal left circumflex artery with mild disease at mid-segment left anterior descending artery (red arrow)
Figure 4
Figure 4. Normal right coronary artery
Figure 5
Figure 5. Cardiac magnetic resonance imaging (MRI) showed mid to apical severe hypokinesia with ballooning of the apical segment (red arrow)

References

    1. Stress cardiomyopathy diagnosis and treatment: JACC State-of-the-Art Review. Medina de Chazal H, Del Buono MG, Keyser-Marcus L, Ma L, Moeller FG, Berrocal D, Abbate A. J Am Coll Cardiol. 2018;72:1955–1971. - PMC - PubMed
    1. CMR should be a mandatory test in the contemporary evaluation of "MINOCA". Ferreira VM. JACC Cardiovasc Imaging. 2019;12:1983–1986. - PubMed
    1. Myocardial Infarction With Nonobstructive Coronary Arteries (MINOCA): the past, present, and future management. Pasupathy S, Tavella R, Beltrame JF. Circulation. 2017;135:1490–1493. - PubMed
    1. MINOCA: the caveat of absence of coronary obstruction in myocardial infarction. Vranken NP, Pustjens TF, Kolkman E, et al. Int J Cardiol Heart Vasc. 2020;29:100572. - PMC - PubMed
    1. The role of imaging for MINOCA (Myocardial Infarction with No Obstructive Coronary Artery Disease): a review of literature and current perspectives. Alasnag M, Jelani Qua, Johnson TW, Parapid B, Balghaith M, Al-Shaibi K. Curr Cardiovasc Imaging Rep. 2020;13

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