TY - JOUR A2 - Srichai, Monvadi Barbara AU - Patel, Nirav AU - Shenoy, Abhishek AU - Dous, George AU - Kamran, Haroon AU - El-Sherif, Nabil PY - 2016 DA - 2016/07/20 TI - Sepsis-Induced Takotsubo Cardiomyopathy Leading to Torsades de Pointes SP - 2384752 VL - 2016 AB - Background. Takotsubo cardiomyopathy (TCM) is sudden and reversible myocardial dysfunction often attributable to physical or emotional triggers. Case Report. We describe a 51-year-old man presented to emergency department with sepsis from urinary tract infection (UTI). He was placed on cefepime for UTI and non-ST-elevation myocardial infarction protocol given elevated troponins with chest pain. Subsequently, patient was pulseless with torsades de pointes (TdP) and then converted to sinus rhythm with cardioversion. An echocardiogram revealed low ejection fraction with hypokinesis of the apical wall. Over 48 hours, the patient was extubated and stable on 3 L/min nasal cannula. He underwent a cardiac catheterization to evaluate coronary artery disease (CAD) and was found to have mild nonobstructive CAD with no further findings. Conclusion. TCM is a rare disorder presenting with symptoms similar to acute coronary syndrome. Though traditionally elicited by physical and emotional triggers leading to transient left ventricular dysfunction, our case suggests that it may also be triggered by a urinary tract infection and lead to severe QT prolongation and a malignant ventricular arrhythmia in TdP. SN - 2090-6404 UR - https://doi.org/10.1155/2016/2384752 DO - 10.1155/2016/2384752 JF - Case Reports in Cardiology PB - Hindawi Publishing Corporation KW - ER -