An uncommon manifestation of shock: Takotsubo syndrome
Echo Research & Practice volume 4, pages K41–K45 (2017)
76-year-old female presented following an episode of collapse. She was hypotensive with the paramedics and remained refractory despite fluid resuscitation. Her initial baseline tests revealed an elevated troponin; she subsequently underwent a coronary angiogram that showed mild coronary artery disease. Left ventriculogram was performed, which showed abnormal mid-wall ballooning and severely impaired systolic function, characteristic of Takotsubo syndrome. Echocardiogram confirmed the presence of diagnosis and presence of left ventricular outflow tract obstruction with high gradient. She was initiated on medical heart failure therapy and improved. Follow-up investigations after 2 months showed complete resolution of systolic dysfunction and symptoms.
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Author contribution statement Y X G drafted the case presentation, investigations and treatment. S S B assisted with initial corrections and discussion. M A was the consultant in charge of the patient’s care.
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Gue, Y.X., Bhandari, S.S. & Ahamed, M. An uncommon manifestation of shock: Takotsubo syndrome. Echo Res Pract 4, K41–K45 (2017). https://doi.org/10.1530/ERP-17-0040