{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:03:39Z","timestamp":1756339419070,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,1,8]]},"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>An 89-year-old man developed chest pain and palpitations shortly after finishing a stressful 40\u2009min phone call to HM Revenue and Customs. After admission to the emergency department, he had a cardiovascular collapse followed soon after by a cardiac arrest due to ventricular fibrillation (VF). The troponin T was elevated and his ECG showed extensive deep T wave inversion with prolongation of the QT interval. A portable hand-held ultrasound device (VScan; GE Healthcare) was used to demonstrate classical apical ballooning of the left ventricular apex indicating a diagnosis of takotsubo stress cardiomyopathy. Shortly following admission to the cardiac care unit, he had a further episode of VF, which was successfully defibrillated. A coronary angiogram was performed, which was normal. He was treated with a short course of benzodiazepines. He was discharged after 8\u2009days without any neurological deficit. His echocardiogram subsequently showed complete resolution of the abnormalities of the left ventricular function.<\/jats:p>","DOI":"10.1136\/bcr-2019-232225","type":"journal-article","created":{"date-parts":[[2020,1,22]],"date-time":"2020-01-22T05:16:08Z","timestamp":1579670168000},"page":"e232225","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["\u2018Tax-otsubo\u2019: stress cardiomyopathy following an encounter with the Inland Revenue"],"prefix":"10.1136","volume":"13","author":[{"given":"Myles William","family":"Roach","sequence":"first","affiliation":[{"name":"Cardiovascular Department, Arrowe Park Hospital, Wirral, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Currie","sequence":"additional","affiliation":[{"name":"Cardiovascular Department, Arrowe Park Hospital, Wirral, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,1,21]]},"reference":[{"key":"2025082703534518000_13.1.e232225.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1406761"},{"key":"2025082703534518000_13.1.e232225.2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(85)90582-X"},{"key":"2025082703534518000_13.1.e232225.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa043046"},{"key":"2025082703534518000_13.1.e232225.4","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.116.027121"},{"key":"2025082703534518000_13.1.e232225.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2016.02.012"},{"key":"2025082703534518000_13.1.e232225.6","doi-asserted-by":"crossref","DOI":"10.1016\/S0735-1097(01)01316-X","article-title":"Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction. angina Pectoris-Myocardial infarction investigations in Japan","volume":"38","author":"Tsuchihashi","year":"2001","journal-title":"J Am Coll Cardiol"},{"key":"2025082703534518000_13.1.e232225.7","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-025253","article-title":"Comparing the variants of takotsubo syndrome: an observational study of the ECG and structural changes from a new Zealand tertiary hospital","volume":"9","author":"Watson","year":"2019","journal-title":"BMJ Open"},{"key":"2025082703534518000_13.1.e232225.8","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1016\/j.hrcr.2016.07.001","article-title":"A case of takotsubo cardiomyopathy showing two modes of initiation for ventricular fibrillation: augmented J-wave and torsade de pointes with QT prolongation","volume":"2","author":"Shimizu","year":"2016","journal-title":"HeartRhythm Case Rep"},{"key":"2025082703534518000_13.1.e232225.9","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.jsha.2016.07.004","article-title":"Recurrent takotsubo with prolonged QT and torsade de pointes and left ventricular thrombus","volume":"29","author":"Ahmed","year":"2017","journal-title":"J Saudi Heart Assoc"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-232225","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:53:53Z","timestamp":1756292033000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-232225"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,1,21]]},"published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1136\/bcr-2019-232225"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-232225","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}