Recurrent Takotsubo Cardiomyopathy: Getting to the Root of the Problem
59th Medical Wing San Antonio United States
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While Takotsubo Cardiomyopathy TC is a rare form of cardiomyopathy, Recurrent Takotsubo Cardiomyopathy is more so, occurring in only 4 among patients with one episode of TC 1. Current therapeutic management is based on expert opinion alone and includes standard heart failure treatment using Beta Blockers BB and Angiotensin Converting-Enzyme inhibitors ACEI. Despite experts acknowledging that emotional stress is a trigger for TC, there is not an accepted or proposed treatment that aims to control emotional stress in the treatment and prevention of recurrent TC. Here, we present a case of recurrent stress cardiomyopathy and how the concomitant use of a selective serotonin reuptake inhibitor SSRI and Cognitive Behavioral Therapy CBT, added to standard medical therapy, successfully prevented another recurrence of TC.
- Medicine and Medical Research