Takotsubo cardiomyopathy with cardiogenic shock misdiagnosed as old MI, successfully treated with TAVR: a case report.

ABSTRACT:

Background

Differentiating Takotsubo cardiomyopathy (TCM) from myocardial infarction (MI) remains challenging, especially in elderly patients with structural heart disease. When complicated by severe aortic stenosis (AS), cardiogenic shock can rapidly develop, posing both diagnostic and therapeutic dilemmas.

Case summary

A 91-year-old woman presented with progressive dyspnoea and was admitted for acute decompensated heart failure. Transthoracic echocardiography revealed severe AS and a reduced left ventricular ejection fraction (LVEF) of 30% with apical wall thinning, suggestive of an old MI. Despite optimal medical therapy, she developed recurrent syncope and was referred for transcatheter aortic valve replacement (TAVR). Before the scheduled procedure, the patient develope

SUBMITTER: Bando R 

PROVIDER: S-EPMC12903785 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature