{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:10:19Z","timestamp":1756303819958,"version":"3.44.0"},"reference-count":7,"publisher":"BMJ","issue":"8","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,7,28]]},"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:p>Takotsubo syndrome is an acute reversible cardiomyopathy with left ventricular dysfunction and a clinical presentation similar to an acute coronary syndrome. Emotional or physical triggers can cause it, including neurological conditions such as seizures. We describe a case of a woman in her 50s with Takotsubo syndrome secondary to status epilepticus, presenting with cardiac arrest and cardiogenic shock. We excluded acute coronary syndrome with coronary angiography. Despite inotropic support, she remained haemodynamically unstable and a percutaneous left ventricular assistance with an Impella CP catheter was initiated. This resulted in a quick weaning of haemodynamic support and recovery of left ventricle systolic function in 2\u2009weeks. This case illustrates the importance of a high index of suspicion to make this diagnosis and link it to neurological triggers, as well as to consider mechanical circulatory support in managing cardiogenic shock due to this cardiomyopathy.<\/jats:p>","DOI":"10.1136\/bcr-2022-254125","type":"journal-article","created":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T13:15:12Z","timestamp":1691586912000},"page":"e254125","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous left ventricular assistance in cardiogenic shock due to Takotsubo cardiomyopathy secondary to status epilepticus"],"prefix":"10.1136","volume":"16","author":[{"given":"Cristina","family":"Martins","sequence":"first","affiliation":[{"name":"Intensive Care Unit, Garcia de Orta Hospital, Almada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo Meireles","family":"Mateus","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Garcia de Orta Hospital, Almada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diogo","family":"Cunha","sequence":"additional","affiliation":[{"name":"Cardiology, Garcia de Orta Hospital, Almada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui","family":"Gomes","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Garcia de Orta Hospital, Almada, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,8,9]]},"reference":[{"key":"2025082706472862000_16.8.e254125.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.07.072"},{"key":"2025082706472862000_16.8.e254125.2","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.ijcard.2020.05.033","article-title":"Mechanical circulatory support for Takotsubo syndrome: a systematic review and meta-analysis","volume":"316","author":"Mariani","year":"2020","journal-title":"Int J Cardiol"},{"key":"2025082706472862000_16.8.e254125.3","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1007\/s00059-020-04906-2","article-title":"Takotsubo syndrome: between evidence, myths, and misunderstandings","volume":"45","author":"Napp","year":"2020","journal-title":"Herz"},{"key":"2025082706472862000_16.8.e254125.4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1406761"},{"key":"2025082706472862000_16.8.e254125.5","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2018-225924","article-title":"Takotsubo cardiomyopathy triggered by status epilepticus: case report and literature review","volume":"12","author":"Nandal","year":"2019","journal-title":"BMJ Case Rep"},{"key":"2025082706472862000_16.8.e254125.6","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy077"},{"key":"2025082706472862000_16.8.e254125.7","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy076"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-254125","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T13:47:34Z","timestamp":1756302454000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-254125"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8]]},"references-count":7,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2023,8,9]]},"published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1136\/bcr-2022-254125"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-254125","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,8]]}}}