Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Recurrent takotsubo cardiomyopathy in the setting of transient neurological symptoms: a case report | Sardar et al. Journal of Medical Case Reports 2011 5 412 http content 5 1 412 JOURNALOF medical Ur Case REPORTS CASE REPORT Open Access Recurrent takotsubo cardiomyopathy in the setting of transient neurological symptoms a case report 1 2 3 4 1 Muhammad Rizwan Sardar Catherine Kuntz Jeremy A Mazurek Naveed Hassan Akhtar Wajeeha Saeed and Timothy Shapiro5 Abstract Introduction First described in Japan takotsubo cardiomyopathy is increasingly becoming recognized worldwide as a cause of sudden and reversible diminished left ventricular function characterized by left apical ballooning and hyperkinesis of the basal segments often with symptoms mimicking a myocardial infarction. Associated with physical or emotional stress its exact pathogenesis has not been established though evidence supports a neurohumoral etiology. Additionally recurrence of this condition is rare. In this report we present a rare case of recurrent takotsubo cardiomyopathy in a post-menopausal woman who presented with transient neurological complaints on both occasions. Case presentation We present a rare case of a 76-year-old Caucasian woman with no history of congestive heart failure who presented to our emergency department twice with transient neurological complaints. On the first occasion she was found to have transient aphasia which resolved within 24 hours yet during that period she also developed symptoms of congestive heart failure and was noted to have a new significantly depressed ejection fraction with apical akinesis and possible apical thrombus. One month after her presentation a repeat echocardiogram revealed complete resolution of all wall motion abnormalities and a return to baseline status. Seven months later she presented with ataxia was diagnosed with vertebrobasilar insufficiency and again developed symptoms and echocardiography findings similar to those of her first presentation. Once again at her one-month follow-up examination all wall motion .
