Intern Med. 2026;65(10):1360-1364. doi: 10.2169/internalmedicine.6121-25.
ABSTRACT
We report an extremely rare case of recurrent Takotsubo syndrome (TTS) in an 83-year-old woman who initially experienced the mid-ventricular type and later developed the focal type. TTS is a transient cardiac condition that mimics acute coronary syndrome but lacks obstructive coronary lesions. While recurrence is uncommon, a change in morphological subtype is particularly rare. In this case, echocardiography was inconclusive, and the diagnosis was confirmed via left ventriculography. This case highlights the diagnostic challenges of focal-type TTS and emphasizes the importance of comprehensive imaging, especially left ventriculography, in patients with suspected recurrence and inconclusive non-invasive findings.
PMID:42144373 | DOI:10.2169/internalmedicine.6121-25