A 68-year-old man on ICU develops Takotsubo (stress) cardiomyopathy following a severe physiological stress. Echocardiography shows apical ballooning ...

Question

A 68-year-old man on ICU develops Takotsubo (stress) cardiomyopathy following a severe physiological stress. Echocardiography shows apical ballooning with an EF of 20%. He is on low-dose noradrenaline. Troponin is mildly elevated. Coronary angiography is normal. What is the expected prognosis?

Accepted Answer

Takotsubo cardiomyopathy typically recovers within days to weeks with supportive care, with LV function returning to normal in most patients

Answer

The condition is irreversible and the patient will require long-term heart failure therapy

Answer

Emergency cardiac surgery is required

Answer

The patient should receive thrombolysis

Answer

Mortality exceeds 50% despite treatment

uk-fficm MCQ (SBA): Takotsubo Cardiomyopathy

A 68-year-old man on ICU develops Takotsubo (stress) cardiomyopathy following a severe physiological stress. Echocardiography shows apical ballooning with an EF of 20%. He is on low-dose noradrenaline. Troponin is mildly elevated. Coronary angiography is normal. What is the expected prognosis?