Submit Manuscript | http://medcraveonline.com Abbreviations: AD: Alzheimer Dementia; AMI: Acute Myocardial Infarction; PCI: Percutaneous Coronary Intervention; NCS: Neurocardiogenic syncope; POTS: Postural Tachycardia Syndrome; MCA: Middle Cerebral Artery; SUDEP: Sudden Unexplained Death in Epilepsy; TTS: Takotsubo Cardiomyopathy; AED: Anti-Epileptic Drugs; SAH: Subarachnoid Hemorrhage; NPE: Ne...

We report a case of a 25-year-old man who was admitted to our emergency department for brain trauma, with electrocardiographic and echocardiographic features suggestive of inverted Takotsubo cardiomyopathy. Using myocardial strain obtained from bidimensional acquisitions, we describe the myocardial abnormalities in this patient presenting with this yet under-recognized syndrome.

Inverted Takotsubo cardiomyopathy, a less common variant in the spectrum of stress-induced cardiomyopathy, is increasingly being reported. This report describes an acute psychiatric illness leading to the onset of this syndrome. The patient presented here developed cardiogenic shock but successfully recovered with the use of a percutaneous left ventricular assist device.

INTRODUCTION Takotsubo syndrome, also known as ampulla cardiomyopathy, broken heart syndrome, idiopathic apical ballooning syndrome, and stress-induced myocardial stunning, has been first described by Japanese authors in 1996 and subsequently specified in 2001; it derives from the resemblance between the ancient round-bottomed, narrow-necked Japanese fishing pots used to trap octopus in Asia an...