Case Report

Takotsubo Cardiomyopathy “Variations on a Theme”

Table 1

Stressors reported to trigger TTC [6].

(i) Emotional stress
(ii) Death or severe illness or injury of a family member, friend, or pet
(iii) Receiving bad news—diagnosis of a major illness, daughter's divorce,
(iv) Spouse leaving for war
(vi) Severe argument
(vii) Public speaking
(viii) Involvement with legal proceedings
(ix) Financial loss—business, gambling
(x) Car accident
(xi) Surprise party
(xii) Move to a new residence

(xiii) Physical stress
(xiv) Non-cardiac surgery or procedure—cholecystectomy, hysterectomy
(xv) Severe illness—asthma or chronic obstructive airway exacerbation,
(xvi) connective tissue disorders, acute cholecystitis, pseudomembranous colitis
(xvii) Severe pain—fracture, renal colic, pneumothorax, pulmonary embolism
(xviii) Recovering from general anesthesia
(xix) Cocaine use
(xx) Opiate withdrawal
(xxi) Stress test—dobutamine stress echo, exercise sestamibi
(xxii) Thyrotoxicosis