{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T09:05:26Z","timestamp":1779267926463,"version":"3.51.4"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Takotsubo cardiomyopathy (TCM) is a reversible cardiomyopathy that mimics acute coronary syndrome and is most commonly observed in postmenopausal women following emotional stress. Presentation in middle-aged men is uncommon, and occupational stress is an increasingly recognized but underreported trigger.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 55-year-old male with Type 2 diabetes mellitus, hypertension, and dyslipidaemia presented with prolonged mild central chest discomfort following an exceptionally long and stressful workday organizing a sporting event. High-sensitivity troponin T was elevated, and transthoracic echocardiography demonstrated reduced left ventricular ejection fraction with apical and mid-ventricular hypokinesia and basal sparing. Coronary angiography revealed no obstructive coronary artery disease. Repeat echocardiography showed near-complete recovery of left ventricular function within 3 days and complete normalization at 6-month follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case illustrates an atypical presentation of TCM in a middle-aged male precipitated by prolonged occupational stress. It underscores the importance of considering TCM in patients presenting with acute coronary syndrome-like symptoms irrespective of sex and highlights work-related stress as a significant non-traditional trigger.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag313","type":"journal-article","created":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:25:08Z","timestamp":1777724708000},"source":"Crossref","is-referenced-by-count":0,"title":["An atypical case of Takotsubo cardiomyopathy in a middle-aged male triggered by work-related stress: case report"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2088-8700","authenticated-orcid":false,"given":"Bassim","family":"Albizreh","sequence":"first","affiliation":[{"name":"Hamad Medical Corporation , Heart Hospital, Al-Rayan Road, PO Box 3050, Doha ,","place":["Qatar"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2229-6285","authenticated-orcid":false,"given":"Gagan","family":"Manoher","sequence":"additional","affiliation":[{"name":"Hamad Medical Corporation , Heart Hospital, Al-Rayan Road, PO Box 3050, Doha ,","place":["Qatar"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4724-8850","authenticated-orcid":false,"given":"Fahmi","family":"Othman","sequence":"additional","affiliation":[{"name":"Hamad Medical Corporation , Heart Hospital, Al-Rayan Road, PO Box 3050, Doha ,","place":["Qatar"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"2026052004063495500_ytag313-B1","doi-asserted-by":"crossref","first-page":"2032","DOI":"10.1093\/eurheartj\/ehy076","article-title":"International expert consensus document on Takotsubo syndrome (Part I): clinical characteristics, diagnostic criteria, and pathophysiology","volume":"39","author":"Ghadri","year":"2018","journal-title":"Eur Heart J"},{"key":"2026052004063495500_ytag313-B2","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":"2026052004063495500_ytag313-B3","doi-asserted-by":"crossref","first-page":"2085","DOI":"10.1016\/j.jacc.2022.03.366","article-title":"Gender differences in Takotsubo syndrome","volume":"79","author":"Arcari","year":"2022","journal-title":"J Am Coll Cardiol"},{"key":"2026052004063495500_ytag313-B4","first-page":"2038","article-title":"International Takotsubo registry: emotional and physical triggers in Takotsubo syndrome","volume":"39","author":"Ghadri","year":"2018","journal-title":"Eur Heart J"},{"key":"2026052004063495500_ytag313-B5","doi-asserted-by":"crossref","first-page":"e2015380","DOI":"10.1001\/jamanetworkopen.2020.14780","article-title":"Incidence of stress cardiomyopathy during the coronavirus disease 2019 pandemic","volume":"3","author":"Jabri","year":"2020","journal-title":"JAMA Netw Open"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytag313\/68223821\/ytag313.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/10\/5\/ytag313\/68223821\/ytag313.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/10\/5\/ytag313\/68223821\/ytag313.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T08:06:46Z","timestamp":1779264406000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytag313\/8670080"}},"subtitle":[],"editor":[{"given":"Doralisa","family":"Morrone","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"A","family":"Ashika","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Deepti","family":"Ranganathan","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,4,30]]},"references-count":5,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,4,30]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytag313","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,5]]},"published":{"date-parts":[[2026,4,30]]},"article-number":"ytag313"}}