Journal of Investigative Medicine High Impact Case Reports (Jan 2024)

A Tale of 2 Morbid Complications in a Patient With Takotsubo Cardiomyopathy

  • Sayna Poursadrolah MD,
  • Shiva Salmasi MD,
  • Micheal Bagheri MD

DOI
https://doi.org/10.1177/23247096231224322
Journal volume & issue
Vol. 12

Abstract

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A 66-year-old female was found hypotensive in ventricular tachycardia (V-tach). Workup confirmed septic shock and takotsubo cardiomyopathy (TCM) with left ventricular (LV) thrombus. Despite the initiation of anticoagulation therapy, she developed an embolic stroke on day 14. Malignant ventricular arrhythmia and LV thrombosis are rare complications of TCM. However, there is no specific guideline regarding prophylactic anticoagulation.