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Recurrent Takotsubo Cardiomyopathy: A Rare Diagnosis with a Common Emergency Department Presentation

Emily M Miner, Harini Gurram, Tennie Renkens, Julie L. Welch

Takotsubo cardiomyopathy is a non-ischemic cardiomyopathy that is often triggered by a physical or emotional stressor and commonly affects post-menopausal women. A 57 year old female with a significant past medical history for atrial fibrillation, anxiety, and Takotsubo cardiomyopathy initially presented to the emergency department with onset of chest palpitations, sinus tachycardia, and non-specific ST-T wave changes on electrocardiogram following an argument. We present a case of recurrent Takotsubo cardiomyopathy, a rare clinical condition that can mimic other common cardiac symptoms, and is important to include on the differential diagnosis for early recognition and better management of potential acute adverse symptoms.