Presumed Takotsubo syndrome is associated with high in-hospital mortality in very elderly frail females: a case series

A Rare Case of Complete Heart Block and Takotsubo Cardiomyopathy in an Elderly Patient: A Case Report

“…The diagnosis of Takotsubo cardiomyopathy poses a challenge, as it is a diagnosis of exclusion and requires a coronary angiogram to rule out ischemic cardiomyopathy, as it often mimics their presentation [ 3 ]. However, coronary angiography cannot be performed in all patients with presumed Takotsubo syndrome, particularly in the oldest ones; therefore, a noninvasive approach comprehensive of the InterTAK Diagnostic Score assessment has recently been proposed for estimating the Takotubo syndrome probability in very old and frail patients with symptoms and signs suggestive of Takotsubo syndrome [ 4 ]. Treatment strategies primarily focus on supportive care, including the use of guideline-directed medical therapy for heart failure and diuresis for symptomatic relief.…”