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Year : 2017  |  Volume : 5  |  Issue : 2  |  Page : 102-104

Takotsubo cardiomyopathy: A hype or a hypo?

1 Department of Cardiology, Kasturba Medical College (KMC), Manipal University, Manipal, Karnataka, India
2 Department of Medicine, Kasturba Medical College (KMC), Manipal University, Manipal, Karnataka, India

Correspondence Address:
Mugula Sudhakar Rao
Department of Cardiology, Kasturba Medical College (KMC), Manipal University, Manipal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2321-449x.208553

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A 51-year-old female was admitted with subarachnoid hemorrhage (SAH) secondary to aneurysmal rupture of the anterior communicating artery (ACoA). Initial echocardiogram was normal. She underwent aneurysmal clipping and the initial postoperative period was uneventful. On the 9th postoperative day, she developed sudden-onset hypotension. Electrocardiogram (ECG) was performed suggestive of acute anterior wall myocardial infarction. Echocardiogram revealed apical ballooning with basal hypercontractility consistent with stress cardiomyopathy. To confirm the diagnosis, coronary angiography was performed, which was normal. She was treated conservatively; however, on the 11th postoperative day she had a sudden cardiac arrest and succumbed to death.

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