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Recurrent Takotsubo Cardiomyopathy: A Rare Diagnosis with a Common Emergency Department Presentation

Takotsubo cardiomyopathy is a non-ischemic cardiomyopathy that is often triggered by a physical or emotional stressor and commonly affects post-menopausal women. A 57 year old female with a significant past medical history for atrial fibrillation, anxiety, and Takotsubo cardiomyopathy initially presented to the emergency department with onset of chest palpitations, sinus tachycardia, and non-specific ST-T wave changes on electrocardiogram following an argument. We present a case of recurrent Takotsubo cardiomyopathy, a rare clinical condition that can mimic other common cardiac symptoms, and is important to include on the differential diagnosis for early recognition and better management of potential acute adverse symptoms.


Emily M Miner, Harini Gurram, Tennie Renkens, Julie L. Welch

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