Transient left ventricular (LV) apical ballooning syndrome, Takotsubo cardiomyopathy, Takotsubo syndrome (TTS), broken heart syndrome, ampulla cardiomyopathy, or stress-induced cardiomyopathy are interchangeable terms and have all been applied to define a syndrome characterized by transient left ventricular systolic and diastolic dysfunction, electrocardiographic features and myocardial enzyme Abstract. Takotsubo cardiomyopathy (TC) is a reversible cardiomyopathy mimicking an acute coronary syndrome, usually observed in response to acute stress situations. The association between acute ischemic stroke and TC is already known, since it has been previously reported that ischemic stroke can be both a consequence and a potential cause of Background Complete heart block is considered a unique and rare complication of Takotsubo cardiomyopathy, an otherwise self-resolving disease. When this occurs, there is a double clinical dilemma: first to find out which triggered the other and second, to decide whether or not to implant a permanent pacemaker. Case presentation We present a case of a 77 years-old female patient, with previous Takotsubo cardiomyopathy is not a heart attack. Takotsubo cardiomyopathy, also called stress cardiomyopathy or broken heart syndrome, is a heart condition that causes sudden and temporary chest pain, difficulty breathing, and lightheadedness and fainting. It commonly occurs in older women and may be triggered by intense emotional or physical stress. Takotsubo syndrome, also known as stress cardiomyopathy, is a clinical syndrome characterised by an acute and transient left ventricular dysfunction often related to an emotionally or physically stressful event. It is estimated to affect 1%–2% of patients with suspected acute coronary syndrome. 1. The mechanism of Takotsubo cardiomyopathy (TTS) is still elusive, but there are several etiological theories, such as catecholamine-induced acute myocardial injury, vasospasm (epicardial coronary and/or microvascular), impairment of the coronary microcirculation, and myocardial stunning.123 Due to its predominance in postmenopausal females, it Stress-induced cardiomyopathy (SCMP; also termed takotsubo cardiomyopathy, broken heart syndrome, or apical ballooning syndrome) accounts for 1.7–2.2% of cases of suspected acute coronary syndrome. SCMP has become increasingly recognized and reported. 1), 2) It can be precipitated or caused by wide range of emotional stresses, like death of The combined stress of MC and TC can have fatal. Myasthenic crisis can induce Takotsubo cardiomyopathy leading to transient systolic and diastolic left ventricular dysfunction and wall-motion .

can takotsubo cardiomyopathy be fatal