{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:02:24Z","timestamp":1777726944572,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2021,8,1]],"date-time":"2021-08-01T00:00:00Z","timestamp":1627776000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:p>Takotsubo syndrome is a condition that mimics acute coronary syndrome. The exact pathogenesis of the condition is unclear but it tends to occur more frequently in elderly women and a large proportion of cases have acute, former, or chronic neurologic or psychiatric disorders. Here we describe a 55-year-old female patient, who was brought to the emergency department presenting with a new-onset manic episode characterized by grandiosity, distractibility, decreased need for sleep, and increased goal-directed behaviours. She experienced chest pain approximately two days later, and non-ST elevation myocardial infarction was observed. The emergent coronary angiogram showed patent coronary arteries, and a diagnosis of Takotsubo syndrome was made. We suggest clinical multidisciplinary vigilance for somatic complaints, especially cardiac ones, in people with psychiatric disorders in order to make timely therapeutic interventions.<\/jats:p>","DOI":"10.1177\/03000605211034997","type":"journal-article","created":{"date-parts":[[2021,8,4]],"date-time":"2021-08-04T00:48:26Z","timestamp":1628038106000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Takotsubo Syndrome Associated with a New Onset Manic Episode: A case report"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9273-9982","authenticated-orcid":false,"given":"Shin-Heng","family":"Shen","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Chang Gung Memorial Hospital at Linkou, 333, Taoyuan, Taiwan"},{"name":"School of Medicine, Chang Gung University, 333, Taoyuan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao-Tien","family":"Liu","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital at Linkou, 333, Taoyuan, Taiwan"},{"name":"School of Medicine, Chang Gung University, 333, Taoyuan, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,8,3]]},"reference":[{"key":"bibr1-03000605211034997","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1406761"},{"key":"bibr2-03000605211034997","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2016.02.012"},{"key":"bibr3-03000605211034997","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2018.01.011"},{"key":"bibr4-03000605211034997","doi-asserted-by":"publisher","DOI":"10.2174\/1745017901814010026"},{"key":"bibr5-03000605211034997","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.10.031"},{"key":"bibr6-03000605211034997","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2012.03.009"},{"key":"bibr7-03000605211034997","first-page":"50","volume":"8","author":"Corrigan FE","year":"2011","journal-title":"Innov Clin Neurosci"},{"key":"bibr8-03000605211034997","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2019.1686912"},{"key":"bibr9-03000605211034997","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-226452"},{"key":"bibr10-03000605211034997","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2011.09.053"},{"key":"bibr11-03000605211034997","first-page":"e5177","volume":"11","author":"Zvonarev V.","year":"2019","journal-title":"Cureus"},{"key":"bibr12-03000605211034997","doi-asserted-by":"publisher","DOI":"10.1038\/ncpcardio1066"},{"key":"bibr13-03000605211034997","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejphar.2014.05.063"},{"key":"bibr14-03000605211034997","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1906193"},{"key":"bibr15-03000605211034997","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/946378"},{"key":"bibr16-03000605211034997","first-page":"e6556","volume":"12","author":"Sattar Y","year":"2020","journal-title":"Cureus"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605211034997","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03000605211034997","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605211034997","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:48:12Z","timestamp":1777459692000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03000605211034997"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":16,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1177\/03000605211034997"],"URL":"https:\/\/doi.org\/10.1177\/03000605211034997","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8]]},"article-number":"03000605211034997"}}