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Letter Case Reports
Acute subarachnoid haemorrhage as a precipitant for takotsubo cardiomyopathy: a case report and discussion.
- Moloy Das, Simon Gonsalves, Arin Saha, Stuart Ross, and Gordon Williams.
- Int. J. Cardiol. 2009 Feb 20; 132 (2): 283-5.
AbstractTakotsubo cardiomyopathy is a recently recognised acute cardiac entity. It involves transient left ventricular apical ballooning, which is usually preceded by an episode of physiological or emotional stress. Its presentation may mimic acute myocardial infarction but there is no evidence of obstructive disease at coronary angiography. The aetiology of this condition has not been clearly defined, though a number of hypotheses have been put forward. Precipitating factors vary widely, including acute medical conditions and emotional stressors. We present a case of takotsubo cardiomyopathy precipitated by acute subarachnoid haemorrhage, the first report of this association in a Caucasian patient, and discuss the implications for clinicians involved in the management of such a case.
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