Emotional Shock–Related Takotsubo Syndrome

Introduction: Overview of Takotsubo syndrome as a transient stress-induced cardiomyopathy often triggered by emotional shock.

Epidemiology: Commonly affects post-menopausal women and accounts for a small percentage of acute coronary syndrome presentations.

Pathophysiology: Catecholamine surge leads to myocardial stunning and temporary left ventricular dysfunction.

Triggers: Sudden emotional events such as grief, fear, or intense anxiety act as precipitating factors.

Clinical Presentation: Patients present with chest pain, dyspnea, and ECG changes mimicking myocardial infarction.

Diagnosis: Confirmed through echocardiography or cardiac MRI showing apical ballooning without obstructive coronary disease.

Management: Supportive care with heart failure therapy and monitoring for complications.

Prognosis: Most patients recover ventricular function within weeks, though complications can occur.

Conclusion: Early recognition of emotionally triggered Takotsubo syndrome is essential to ensure appropriate management and favorable outcomes.