Takotsubo Cardiomyopathy (TCM), also known as Broken Heart Syndrome, is an acute stress-induced cardiomyopathy with transient
cardiac failure. It is triggered by preceding extreme physical or psychological stress. The etiology remains unclear, however,
pathophysiological activation of the adrenergic system causing catecholamine-induced myocardial dysfunction is proposed. Use/
overuse of short acting beta-2-agonist (SABA) is a possible predisposing factor.
We report a case of TCM in a 64-year-old female after bronchoscopy with endobronchial ultrasound (EBUS) and transbronchial
needle aspiration biopsy (TNAB). The case shows a possible delay from symptom onset to echocardiographic visibility of TCM on and
underlines the importance of reviewing a patient’s use of SABA prior to invasive procedures.
Atypical Presentation of Takotsubo Cardiomyopathy: Stroke as a Predisposing Factor
