J Korean Neurol Assoc.
2014 Aug;32(3):194-197.
Takotsubo Cardiomyopathy Associated With Status Epilepticus
- Affiliations
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- 1Department of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, Korea. myoungsim@naver.com
- 2Department of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Abstract
- Takotsubo cardiomyopathy is a reversible cardiac syndrome that occurs subsequently to other medical illnesses such as cerebral hemorrhage, shock, or seizure disorders that are presumed to disturb autonomic regulation. This syndrome is characterized by chest pain, dyspnea, and electrocardiographic changes mimicking an acute coronary syndrome. Mild elevation of cardiac enzymes and transient wall-motion abnormalities of apical akinesia can appear. However, takotsubo cardiomyopathy following epilepsy is not well recognized. We report two cases of takotsubo-cardiomyopathy-related idiopathic status epilepticus presenting with cardiogenic shock.
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