{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:36:46Z","timestamp":1773297406001,"version":"3.50.1"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T00:00:00Z","timestamp":1708041600000},"content-version":"vor","delay-in-days":15,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Takotsubo syndrome occurs predominantly in women and is usually preceded by acute emotional and\/or physical stress. Patients commonly present with chest pain and\/or dyspnea. Syncope or out-of-hospital cardiac arrest is a rare presentation. We report an unusual case of takotsubo syndrome in an elderly patient who presented with left facial droop, slurred speech, and syncopal episode. Initial presumed diagnosis was an ischemic stroke\/transient ischemic attack. However, the patient was then treated for acute myocardial ischemia\/infarction based on abnormal electrocardiogram, elevated cardiac troponin, and unremarkable neurological workup. Eventually diagnosed with takotsubo syndrome. Our case illustrates the importance of prompt identification particularly in the context of atypical presentation and further evaluation to rule out serious causes to mitigate related morbidity and mortality while simultaneously avoiding unnecessary investigations.<\/jats:p>","DOI":"10.1093\/omcr\/omad144","type":"journal-article","created":{"date-parts":[[2024,2,17]],"date-time":"2024-02-17T08:42:55Z","timestamp":1708159375000},"source":"Crossref","is-referenced-by-count":2,"title":["An unusual presentation of takotsubo syndrome in an elderly patient"],"prefix":"10.1093","volume":"2024","author":[{"given":"Israr","family":"Khan","sequence":"first","affiliation":[{"name":"Hackensack Meridian Health (HMH) Palisades Medical Center Department of Internal Medicine, , North Bergen, NJ, USA"},{"name":"Insight Hospital and Medical Center Chicago , IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Atoot","sequence":"additional","affiliation":[{"name":"Hackensack Meridian Health (HMH) Palisades Medical Center Department of Internal Medicine, , North Bergen, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,2,16]]},"reference":[{"key":"2024021708422398800_ref1","first-page":"56","volume-title":"Clinical Aspect of Myocardial Injury: From Ischemia to Heart Failure","author":"Sato","year":"1990"},{"key":"2024021708422398800_ref2","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1161\/01.CIR.0000153801.51470.EB","article-title":"Acute and reversible cardiomyopathy provoked by stress in women from the United 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infarction","volume":"141","author":"Bybee","year":"2004","journal-title":"Ann Intern Med"},{"key":"2024021708422398800_ref6","doi-asserted-by":"crossref","first-page":"17","DOI":"10.14797\/mdcvj.1100","article-title":"Atypical presentation of takotsubo cardiomyopathy in an elderly woman","volume":"18","author":"Arunachalam","year":"2022","journal-title":"Methodist Debakey Cardiovasc J"},{"key":"2024021708422398800_ref7","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1186\/s43044-022-00310-9","article-title":"Takotsubo cardiomyopathy in a female presenting with status asthmaticus: a case report and review of literature","volume":"74","author":"Clark","year":"2022","journal-title":"Egypt Heart J"},{"key":"2024021708422398800_ref8","article-title":"Takotsubo cardiomyopathy in two patients without any cardiac symptom on maintenance hemodialysis","volume":"2013","author":"Muratsu","year":"2013","journal-title":"Case Rep 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