Unusual combined cause of Takotsubo cardiomyopathy: Hyponatremia and seizure

Abstract

Takotsubo cardiomyopathy (TTC) is characterized by transient systolic dysfunction of the left ventricle and changes of electrocardiographic or cardiac markers, resembling an acute coronary syndrome. Although the etiology of TTC is still unknown, awide variability in the psychological and physical triggers for TTC is present. In this article, we describe the case of 69-year-oldfemale with a history of epilepsy and who presented in the emergency room with a new-onset generalized tonic–clonic seizureactivity. After finding out that her biochemistry results indicated severe hyponatremia, a diagnosis of TTC was establishedthrough echocardiography and angiography.