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Authors: Ashraf Fathy Elshehry , Mohammed Ali Kamel Ainshoka

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Abstract

Background: Takotsubo cardiomyopathy is frequently presented as acute coronary syndrome after a significant history of exposure to emotional, physical, or combined stress. Case Presentation: An 84-year-old-man was presented to the emergency department of a tertiary hospital with features of acute urine retention, which was relieved by inserting a Foley’s catheter. The patients’ electrocardiogram showed ST elevation in the anterior leads with T-wave inversion in the lateral leads, the Troponin-T was 608 ng/l. The patient was taken for cardiac catheterization where the left ventricular angiogram showed severely hypokinetic mid to distal anterior wall and mid to distal inferior wall with dyskinetic LV apex (Apical ballooning). The subsequent echocardiography after 2 months showed almost complete recovery of left ventricular function proving it to be a case of takotsubo cardiomyopathy. Conclusion: The emergency physicians should include takotsubo cardiomyopathy in the differential diagnosis of such cases which have ECG changes and elevated cardiac enzymes.

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Keywords: Takotsubo cardiomyopathy, acute urinary retention, stress, broken heart syndrome case report

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