Takotsubo Cardiomyopathy: A Case of Young Male with Broken Heart

Takotsubo Cardiomyopathy in Young Male

Abstract

Background: Takotsubo cardiomyopathy (TC), also known as broken heart syndrome, is a transient cardiac condition often triggered by emotional or physical stress. Although predominantly seen in postmenopausal women, this case reports a rare occurrence in a young male following intubation and mechanical ventilation for status asthmaticus.
Objective: To describe a rare case of TC in a young male post-intubation and mechanical ventilation and to emphasize the importance of early diagnosis and appropriate management.
Methods: A 32-year-old male with a history of bronchial asthma was admitted unresponsive, requiring CPR and intubation. Baseline investigations included ECG, cardiac enzymes, echocardiography, and coronary angiography. Data were analyzed descriptively with a focus on clinical presentation, diagnostic findings, and management outcomes.
Results: The patient exhibited ST-segment elevation on ECG and elevated troponin levels (2134.1 ng/L at 12 hours), with echocardiography showing apical hypokinesia. Coronary angiography revealed normal coronary arteries. The patient was successfully weaned from mechanical ventilation on day 3 and showed full recovery with normalization of left ventricular function by discharge.
Conclusion: This case highlights the importance of considering TC in patients with acute coronary syndrome-like symptoms following intubation. Early recognition and management are crucial for favorable outcomes.