Skip Navigation LinksHome > September 2013 - Volume 34 - Issue 3 > Inverted Takotsubo Cardiomyopathy—Clinicopathologic Correlat...
American Journal of Forensic Medicine & Pathology:
doi: 10.1097/PAF.0b013e31829f653e
Case Reports

Inverted Takotsubo Cardiomyopathy—Clinicopathologic Correlation

Tran, Khoa MBBS, FRACP, FCICM*; Milne, Nathan MBBS, FRCPA; Duhig, Edwina MBBS, FRCPA; Altman, Mikhail MD, FRACP§

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Abstract

We report the case of a 34-year-old woman who presented after a witnessed out-of-hospital arrest. Initial cardiac rhythm at the time of resuscitation was ventricular fibrillation. Subsequently in hospital, she developed further episodes of polymorphic ventricular tachycardia and ventricular fibrillation. Urgent echocardiography showed features suggestive of an inverted takotsubo cardiomyopathy. Twenty-four hours after admission, there was a further episode of polymorphic ventricular tachycardia from which the patient could not be resuscitated. An autopsy confirmed the cause of death as inverted takotsubo cardiomyopathy. We present the pathological findings from the postmortem autopsy.

Copyright © 2013 by Lippincott Williams & Wilkins

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