{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T10:39:57Z","timestamp":1781174397225,"version":"3.54.1"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Stress cardiomyopathy (Takotsubo syndrome) defined as Takotsubo syndrome is defined as a reversible acute myocardial syndrome with myocardial injury with regional wall motion abnormality and no coronary explanations in the context of stress. The pathophysiology remains partially unknown, and these cases are probably underestimated in paediatrics. We report six cases of Takotsubo probably secondary to neurological damage.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>Six patients (10, 13, 16, 10, and 9 years and 5 months) presented with haemodynamic lability with echocardiography data leading to suspicion of Takotsubo syndrome. These cases were secondary to neurological involvement (cerebral haemorrhage, intraventricular haemorrhage, brain damage due to bifrontal oedema, posterior fossa tumour, pneumococcal meningitis, high-grade glioma). All patients were rapidly started on amine. Reversibility of the acute myocardial syndrome was complete in all but one child, who rapidly progressed to encephalic death.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Neurological distress has been suggested as a potential cause of Takotsubo syndrome. The pathophysiology is possibly related to excessive stimulation of the sympathetic system. This syndrome should probably be considered in the setting of left heart failure with neurological distress so as not to delay the use of amines especially since in the paediatric population the probability of a coronary origin is low.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae030","type":"journal-article","created":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T07:52:16Z","timestamp":1706514736000},"source":"Crossref","is-referenced-by-count":2,"title":["Stress cardiomyopathy in the paediatric population: a case series"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9467-5644","authenticated-orcid":false,"given":"Nadine","family":"Annino","sequence":"first","affiliation":[{"name":"Paediatric Emergency Department, Hospital University of Saint Etienne , H\u00f4pital Nord, 42055 Saint Etienne Cedex 2 , 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de Lyon, University of Lyon , Bron , France"},{"name":"Agressions Pulmonaires et Circulatoires dans le Sepsis (APCSe), VetAgro Sup, Universit\u00e9s de Lyon , Marcy l\u2019Etoile , France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,1,29]]},"reference":[{"key":"2024032712085664300_ytae030-B1","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1056\/NEJMoa1406761","article-title":"Clinical features and outcomes of Takotsubo (stress) cardiomyopathy","volume":"373","author":"Templin","year":"2015","journal-title":"N Engl J Med"},{"key":"2024032712085664300_ytae030-B2","first-page":"96","article-title":"Acute stress-induced (Takotsubo) cardiomyopathy","volume":"104","author":"Dawson","year":"2018","journal-title":"Heart Br Card Soc"},{"key":"2024032712085664300_ytae030-B3","first-page":"1461","article-title":"Takotsubo syndrome: aetiology, presentation and 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