Case Report

Seizure Associated Takotsubo Syndrome: A Rare Combination

Table 1

Cases of seizure related TC.

Case reportSexAgeHistory of heart diseaseChest painSeizureECG Troponin peak (ng/ml)EchoCoronary angiographyComplications during hospitalizationClinical outcome

Kalra et al. [2]F25NoNoGeneralizedInverted T wave in II,III, AVF, and V3–V6, long QT interval N.A.Hypokinesia of left ventricle apexNormalNoneFavorable
Johar et al. [3]F57NoYesNoST elevation in V1–V4 17.11Marked akinesis of mid-to-distal septum, apex and anterior wall, EF 30%Normal coronary arteries without any stenosis or obstructionNoneFavorable
Lemke et al. [1]F50NoNoGeneralizedST depression in V2-V3 1Apical wall
hypokinesis,
EF 35–40%
NormalHypotension, acute pulmonary edemaFavorable, discharged home on hospital day 5
Chin et al. [4]M62NoNoGeneralizedST depression in V2–V4 17.8Anterior, lateral, distal inferior wall hypokinesis. Normal apical mobility, EF 40%NormalHypotension, acute pulmonary edemaFavorable
Chin et al. [4]F50NoNoGeneralizedInverted T wave in V1–V4 3Mid left ventricular hypokinesis,
hyperdynamic function of apex and basis
NormalNoneFavorable
Bosca et al. [5]F61NoYesGeneralizedST elevation in V3, inverted T waves in V4–V6 Mild elevationLateral and apical wall dyskinesis
with LVEF impairment
NormalAcute heart failureFavorable
Sakuragi et al. [6]F59Sick sinus syndrome. PMNoGeneralized, status
epilepticus
ST elevation in I, aVL, V2–V4, long QT interval N.A. (CPK mb: 39 UI/L)Severe anterior and apical wall
hypokinesis. Mild LVEF
impairment
NormalHeart failureFavorable
Shimizu et al. [7]F75NoNoGeneralizedST elevation in II, III, aVF, V2–V5 Positive qualitative testApical ballooning, basal
hyperkinesis
Normal left coronary, right
coronary hypoplasia,
positive spasm test
HypotensionFavorable, discharged on
hospitalization day 27
Stöllberger et al. [8]F71NoNoGeneralizedQ waves and ST elevation in II, III, aVF, V5-V6
PositiveApical, anteroapical and inferoapical akinesisNormalLeft ventricular ruptureDeath on hospitalization day 3
Yousuf et al. [9]F58NoNoGeneralizedST elevation in V2–V6 10Anterior, septal, apical akinesis, ballooningNormalAcute pulmonary edema, kidney injury, rhabdomyolysisComplete recovery in 1 week
Wakabayashi
et al. [10]
F68NoNoGeneralized, status
epilepticus
Inverted T waves in I, II, III, aVF, V2–V6, long QT interval N.A.Apical ballooning with
hypokinesis
Left ventricle apical thrombusFavorable, discharged on hospital
day 44
Seow et al. [11]M62NoNoGeneralized, status
epilepticus
Anterior derivations ST elevation ElevationMild ventricular
ballooning, sparing of the apex, EF 40%
Nonsignificant stenosis in
the obtuse marginal branch
of Cx
HypotensionFavorable