Seizure-induced Takotsubo cardiomyopathy mimicking STEMI: A case report

Abstract

We present the case of a 73-year-old female with no prior history of cardiac or neurological disorders who experienced transient loss of consciousness followed by fluctuating levels of consciousness. Electrocardiography (ECG) revealed significant ST-segment elevation, and echocardiography demonstrated mid-apical hypokinesia with reduced ejection fraction. Coronary angiography showed normal coronary arteries, leading to a diagnosis of Takotsubo cardiomyopathy (TTC), likely precipitated by a neurological event. This case underscores the importance of considering TTC in patients presenting with acute coronary syndrome (ACS) symptoms, especially when triggered by neurological events such as seizures. The diagnostic limitation of not performing an EEG during the altered mental status episodes is also highlighted.