Takotsubo syndrome (TTS) is characterized by an acute heart failure syndrome and associated with a bevy of adverse events 1,2,3,4,5.Four forms of TTS according to affected wall motion changes have We present the case of a patient who suffered potentially fatal cardiogenic shock caused by takotsubo cardiomyopathy due to serotonin syndrome. Takotsubo cardiomyopathy, also known as stress-induced cardiomyopathy or broken-heart syndrome, is characterized by transient dysfunction of the LV apex, concomitant with hyperkinesis of the basal Takotsubo syndrome (TTS) is characterized by acute left ventricular (LV) dysfunction. 1 This syndrome has historically been considered a benign disease, as the LV dysfunction recovers spontaneously within a few weeks. 2 However, recent data show that TTS is associated with a substantial risk of adverse events both during the acute phase and in the long‐term, with complication rates What is Takotsubo cardiomyopathy? Takotsubo cardiomyopathy is a temporary heart condition that develops in response to an intense emotional or physical experience. It’s also known as stress cardiomyopathy or broken heart syndrome. In this condition, the heart’s main pumping chamber changes shape, affecting the heart’s ability to pump Whether a higher degree of catecholaminergic injury to the heart accounted for the fatal outcome in our patient is only conjectural. LEARNING POINTS Development of stress cardiomyopathy is another reason for respiratory distress in patients with myasthenia gravis crisis. Takotsubo cardiomyopathy (TTC) is a transient cardiac syndrome that typically causes mid-ventricular circumferential and apical hypokinesis mimicking an acute coronary syndrome. In TTC, acute coronary or microvascular spasms can result in stunning of the myocardium with left ventricular dysfunction caused by catecholamine release due to emotion wk9sT. Takotsubo (stress-induced) cardiomyopathy (TC) is characterized by transient left ventricular dysfunction, with distinct regional wall-motion abnormalities, that is not due to obstructive coronary artery disease (CAD). 1 Although TC has been recognized for over 3 decades, 2 our understanding of this unique disease is still evolving. It can lead to severe short-term heart muscle failure, according to UW Medicine, and in rare cases, it can even be fatal. Symptoms of the syndrome, also known as stress-induced cardiomyopathy or Pheochromocytoma and takotsubo cardiomyopathy. The presence of pheochromocytoma is a criterion for exclusion of TCMP. However, heochromocytoma can present with cardiac manifestations similar to TCMP, due to a surge of catecholamines. 5 The first case resembling TCMP was described in a patient with pheochromocytoma. 6 Hence, pheochromocytoma must always be ruled out in patients presenting a Cardiomyopathy. Cardiomyopathy is a general term for diseases of the heart muscle, where the walls of the heart chambers have become stretched, thickened or stiff. This affects the heart's ability to pump blood around the body. Most types of cardiomyopathy are inherited. It can also be caused by other conditions, or risk factors, but for some Whether a higher degree of catecholaminergic injury to the heart accounted for the fatal outcome in our patient is only conjectural. LEARNING POINTS Development of stress cardiomyopathy is another reason for respiratory distress in patients with myasthenia gravis crisis. Takotsubo Syndrome (TTS) – also known as Takotsubo Cardiomyopathy, stress-induced cardiomyopathy, transient apical ballooning and broken heart syndrome – is a condition that is generally triggered by emotional or physical stress and characterised by transient regional left ventricular (LV) systolic dysfunction.

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