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Year : 2018  |  Volume : 4  |  Issue : 1  |  Page : 78-81

Fatal reverse takotsubo cardiomyopathy in the emergency department

1 Department of Emergency Medicine, University of Tennessee College of Medicine/Saint Thomas Health, Knoxville, USA
2 University of Tennessee College of Medicine/Saint Thomas Health, Nashville, Tennessee, USA

Correspondence Address:
Dr. Kevin H Beier
1700 Medical Center Parkway, Murfreesboro, TN 37129
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJAM.IJAM_66_17

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A healthy, 56-year-old female with a history of panic disorder presented to the emergency department (ED) with chest pressure. Physical examination and supporting data were within normal limits. Despite normal stress testing, she experienced recurrence of the chest pain the same day, and repeat ED assessment revealed isolated ST elevation and a troponin of 0.15. Following admission, serial troponin increased to 26.35 and subsequent coronary angiography revealed normal coronary arteries and a ventricular wall motion consistent with reverse takotsubo cardiomyopathy. The patient unexpectedly succumbed to a malignant arrhythmia on day 3. The following core competencies were addressed in this case report: Patient care, Medical knowledge, Patient education.

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