The patient is a postmenopausal female in her mid-50s with a reported history of Crohn's disease who presented on 3 separate occasions with gastrointestinal symptoms that progressed to chest pain with elevated troponin and wall motion abnormalities on transthoracic echocardiogram. High-sensitivity troponin peak, leukocyte count, inflammatory markers, and echocardiographic description for each episode are presented in the Figure. During the first episode, she additionally developed respiratory failure. The transthoracic echocardiogram demonstrated a left ventricular ejection fraction of 20% with apical hypokinesis and basal sparing, consistent with classic takotsubo cardiomyopathy. She underwent urgent coronary angiography showing no occlusive disease or plaque rupture. She was started on lisinopril for heart failure. At follow-up, echocardiogram demonstrated normal left ventricular ejection fraction and wall motion, and her heart failure medications were discontinued.
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Published online: May 27, 2022
Publication stageIn Press Journal Pre-Proof
Funding: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflicts of Interest: All authors attest that they have no conflicts of interest.
Authorship: All authors had access to the data and an equal role in writing the manuscript.
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