We present a 76 years old lady who presented with a total of four episodes of Takotsubo Cardiomyopathy (TC) over the last 15 years. Her first presentation was in 2006 and she had further admissions for the same problem over the next 10 years. Each time she presented with chest pain and ECG changes and had normal coronary angiogram despite having echocardiography and electrocardiogram (ECG) changes. She had raised troponin levels on each presentation. She had coronary angiogram on the previous three occasions and computerized tomography scan of coronary arteries (CTCA) in this admission that was normal. She described her chest pain as 8/10 on severity scale, had elevated troponin of 111 and 152. ECG showed left bundle branch block and biphasic T waves in leads V2-V6. She was treated for Acute Coronary Syndrome (ACS) and had normal CTCA and was diagnosed with fourth episode of takotsubo cardiomyopathy.
HTML PDFShare this article
Journal of Clinical Case Reports received 1345 citations as per Google Scholar report
