Recurrent Takotsubo Cardiomyopathy With Variable Patterns and Psychiatric Comorbidities: A Case Report and Comprehensive Literature Review

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Clinical Case Reports Pub Date : 2025-07-10 DOI:10.1002/ccr3.70635

Hamza AlKowatli, Oubada Alkowatli, Ahmad Karzoun, Bisher Sawaf, Mhd Baraa Habib, Nahush Bansal, Muhammad Faiz, Robert Subbiondo

引用次数: 0

Abstract

Takotsubo cardiomyopathy (TTC) is a transient stress-induced cardiac syndrome that can mimic acute coronary syndrome but typically lacks obstructive coronary disease. We report a case of a 50-year-old woman with complex psychiatric comorbidities who developed classical apical TTC following acute emotional distress—distinct from a prior reverse TTC episode during medical illness. Her condition stabilized with supportive care, anticoagulation, and psychiatric management. This case illustrates the phenotypic variability of TTC, the role of emotional stress in recurrence, and the importance of integrated multidisciplinary care.

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复发性Takotsubo心肌病伴不同类型和精神合并症：1例报告和综合文献综述

Takotsubo心肌病（TTC）是一种短暂的应激性心脏综合征，可以模拟急性冠状动脉综合征，但通常没有阻塞性冠状动脉疾病。我们报告一例患有复杂精神合并症的50岁女性，她在急性情绪困扰后发展为典型的根尖TTC -不同于先前在医学疾病期间的TTC逆转发作。她的病情在支持性护理、抗凝治疗和精神治疗下稳定下来。该病例说明了TTC的表型变异性，情绪压力在复发中的作用，以及综合多学科治疗的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Case Reports MEDICINE, GENERAL & INTERNAL-

自引率

14.30%

发文量

1268

审稿时长

13 weeks

期刊介绍： Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).