Takotsubo cardiomyopathy associated with syncope

Licheng Lee, Thana Khawcharoenporn, Nalurporn Chokrungvaranon, Gail Peterson

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


We report an 81-year-old Japanese patient with takotsubo cardiomyopathy associated with syncope with the possibility that the latter event evoked the former condition. Initial investigations revealed elevation of cardiac enzymes and electrocardiography changes consistent with acute myocardial infarction. The patient subsequently underwent cardiac catheterization that revealed left ventricular apical ballooning and decreased left ventricular ejection fraction without significant coronary artery lesions. A marked elevation in plasma norepinephrine, as a result of baroreflex unloading associated with profound hypotension or frank baroreflex failure, may well have caused takotsubo cardiomyopathy.

Original languageEnglish (US)
Pages (from-to)163-166
Number of pages4
JournalHeart and Lung: Journal of Acute and Critical Care
Issue number2
StatePublished - Jan 1 2009

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine


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