Case Report
 
Takotsubo cardiomyopathy presenting as pulseless electrical activity
Muhammad Faisal Khilji1, Muhammad Mujtaba Shaikh2
1Sultan Qaboos University Hospital, Specialist, Emergency Medicine, P. O. Box 38, P.C. 123, AL-Khod, Muscat, Sultanate of Oman
2Sultan Qaboos University Hospital, Senior Specialist, Department of Medicine(Cardiology), P. O. Box 38, P.C. 123, AL-Khod, Muscat, Sultanate of Oman

Article ID: 100921Z01MK2018
doi: 10.5348/100921Z01MK2018CR

Corresponding Author:
Muhammad Faisal Khilji,
Sultan Qaboos University Hospital,
Specialist, Emergency Medicine,
P. O. Box 38, P.C. 123, AL-Khod, Muscat, Sultanate of Oman

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How to cite this article
Khilji MF, Shaikh MM. Takotsubo cardiomyopathy presenting as pulseless electrical activity. Int J Case Rep Images 2018;9:100921Z01MK2018.


ABSTRACT

Introduction: Takotsubo cardiomyopathy (TCM) is a rare condition, clinically presenting as myocardial infarction with normal coronaries and characterized by reversible apical ballooning of the left ventricle.

Case Report: We present a case of a 40-year-old female presenting to the Emergency department (ED) of a tertiary care hospital after she collapsed suddenly and became unresponsive at the triage. She was having central chest pain before her collapse. Immediate Cardiopulmonary Resuscitation (CPR) was provided. Her rhythm was pulseless electrical activity (PEA) during the CPR. After two cycles of CPR she achieved ROSC (Return of Spontaneous Circulation) with electrocardiograph (ECG) showing ST elevation in lateral and inferior lead. She was taken to the catheterization laboratory immediately where her coronary arteries were found normal on coronary angiography with left ventricular apical hypokinesis in the shape of takotsubo (a Japanese octopus trapping fishing pot). Patient was discharged after one week of uneventful hospital stay. Her subsequent echocardiography after two months showed almost complete recovery of left ventricular function proving it to be a case of Takotsubo cardiomyopathy.

Conclusion: TCM should be suspected in all females with acute myocardial infarction.

Keywords: Chest pain, Coronary angiography, Myocardial infarction, Takotsubo cardiomyopathy


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Author Contributions
Muhammad Faisal Khilji – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Muhammad Mujtaba Shaikh – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Consent Statement
Written informed consent was obtained from the patient for publication of this case report.
Conflict of Interest
Author declares no conflict of interest.
Copyright
© 2018 Muhammad Faisal Khilji et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.