{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:43:14Z","timestamp":1762004594360,"version":"3.28.0"},"reference-count":17,"publisher":"Texas Heart Institute Journal","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:p>In takotsubo cardiomyopathy, the clinical appearance is that of an acute myocardial infarction in the absence of obstructive coronary artery disease, with apical ballooning of the left ventricle. The condition is usually precipitated by a stressful physical or psychological experience. The mechanism is unknown but is thought to be related to catecholamine excess. We present the case of a 67-year-old woman who experienced cardiogenic shock caused by takotsubo cardiomyopathy, immediately after undergoing elective direct-current cardio-version for atrial fibrillation. After a course complicated by left ventricular failure, cardiogenic shock, and ventricular tachycardia, she made a complete clinical and echocardiographic recovery. In addition to this case, we discuss the possible direct effect of cardioversion in takotsubo cardiomyopathy.<\/jats:p>","DOI":"10.14503\/thij-12-3063","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T16:43:24Z","timestamp":1396370604000},"page":"184-187","source":"Crossref","is-referenced-by-count":8,"title":["Takotsubo Cardiomyopathy as a Sequela of Elective Direct-Current Cardioversion for Atrial Fibrillation"],"prefix":"10.14503","volume":"41","author":[{"given":"Jonathan S.","family":"Siegfried","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satjit","family":"Bhusri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nils","family":"Guttenplan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil L.","family":"Coplan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"3","key":"i0730-2347-41-2-184-b1","series-title":"Am Heart J","first-page":"408","article-title":"Apical ballooning syndrome (tako-tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction","volume":"155","year":"2008","unstructured":"Prasad\n              A\n            , LermanA, RihalCS.\n          Apical ballooning syndrome (tako-tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J2008;155(3):408\u201317."},{"issue":"3","key":"i0730-2347-41-2-184-b2","series-title":"Coron Artery Dis","first-page":"206","article-title":"Takotsubo syndrome","volume":"22","year":"2011","unstructured":"Balkin\n              DM\n            , CohenLS.\n          Takotsubo syndrome. Coron Artery Dis2011;22(3):206\u201314."},{"issue":"6","key":"i0730-2347-41-2-184-b3","series-title":"Heart Lung Circ","first-page":"512","article-title":"An unusual precipitant of tako-tsubo cardiomyopathy","volume":"17","year":"2008","unstructured":"Eggleton\n              S\n            , MathurG, LambrosJ.\n          An unusual precipitant of tako-tsubo cardiomyopathy. Heart Lung Circ2008;17(6):512\u20134."},{"issue":"1","key":"i0730-2347-41-2-184-b4","series-title":"Minerva Med","first-page":"115","article-title":"A case of tako-tsubo cardiomyopathy after electrical cardioversion","volume":"104","year":"2013","unstructured":"Vizzardi\n              E\n            , RovettaR, BonadeiI, QuinzaniF, D'AloiaA, SalghettiF, et al. A case of tako-tsubo cardiomyopathy after electrical cardioversion. Minerva Med2013;104(1):115\u20137."},{"issue":"4","key":"i0730-2347-41-2-184-b5","series-title":"J Electrocardiol","first-page":"351","article-title":"Reversible left ventricular dysfunction \u201ctakotsubo\u201d cardiomyopathy related to catecholamine cardiotoxicity","volume":"35","year":"2002","unstructured":"Akashi\n              YJ\n            , NakazawaK, SakakibaraM, MiyakeF, SasakaK.\n          Reversible left ventricular dysfunction \u201ctakotsubo\u201d cardiomyopathy related to catecholamine cardiotoxicity. J Electrocardiol2002;35(4):351\u20136."},{"issue":"6","key":"i0730-2347-41-2-184-b6","series-title":"Circulation","first-page":"697","article-title":"High levels of circulating epinephrine trigger apical cardiodepression in a \u03b22-adrenergic receptor\/Gi-dependent manner: a new model of takotsubo cardiomyopathy","volume":"126","year":"2012","unstructured":"Paur\n              H\n            , WrightPT, SikkelMB, TranterMH, MansfieldC, O'GaraP, et al. High levels of circulating epinephrine trigger apical cardiodepression in a \u03b22-adrenergic receptor\/Gi-dependent manner: a new model of takotsubo cardiomyopathy. Circulation2012;126(6):697\u2013706."},{"issue":"9","key":"i0730-2347-41-2-184-b7","series-title":"J Am Coll Cardiol","first-page":"e17","article-title":"Global coronary artery spasm caused ta-kotsubo cardiomyopathy","volume":"55","year":"2010","unstructured":"Nojima\n              Y\n            , KotaniJ.\n          Global coronary artery spasm caused ta-kotsubo cardiomyopathy. J Am Coll Cardiol2010;55(9):e17."},{"issue":"3","key":"i0730-2347-41-2-184-b8","series-title":"Circ Cardiovasc Interv","first-page":"268","article-title":"Severe multivessel coronary vasospasm and left ventricular ballooning syndrome","volume":"2","year":"2009","unstructured":"Haghi\n              D\n            , SuselbeckT, WolpertC.\n          Severe multivessel coronary vasospasm and left ventricular ballooning syndrome. Circ Cardiovasc Interv2009;2(3):268\u20139."},{"issue":"6","key":"i0730-2347-41-2-184-b9","series-title":"Am J Emerg Med","first-page":"734.e5","article-title":"Cardiac arrest in a patient with normal coronary arteries","volume":"26","year":"2008","unstructured":"Makaryus\n              AN\n            , PatrickC, PatchaR, MaccaroP.\n          Cardiac arrest in a patient with normal coronary arteries. Am J Emerg Med2008;26(6):734.e5\u20137."},{"issue":"9","key":"i0730-2347-41-2-184-b10","series-title":"South Med J","first-page":"957","article-title":"Association of myocardial bridge and takotsubo cardiomyopathy: a case report and literature review","volume":"102","year":"2009","unstructured":"Boktor\n              M\n            , MansiIA, TroxclairS, ModiK.\n          Association of myocardial bridge and takotsubo cardiomyopathy: a case report and literature review. South Med J2009;102(9):957\u201360."},{"issue":"3","key":"i0730-2347-41-2-184-b11","series-title":"J ECT","first-page":"221","article-title":"Takotsubo cardiomyopathy after electroconvulsive therapy: a case report and review","volume":"27","year":"2011","unstructured":"Celano\n              CM\n            , TorriA, SeinerS.\n          Takotsubo cardiomyopathy after electroconvulsive therapy: a case report and review. J ECT2011;27(3):221\u20133."},{"issue":"12","key":"i0730-2347-41-2-184-b12","series-title":"Ann Pharmacother","first-page":"1559","article-title":"Takotsubo cardiomyopathy as a complication of electroconvulsive therapy","volume":"45","year":"2011","unstructured":"Sharp\n              RP\n            , WelchEB.\n          Takotsubo cardiomyopathy as a complication of electroconvulsive therapy. Ann Pharmacother2011; 45(12):1559\u201365."},{"issue":"5","key":"i0730-2347-41-2-184-b13","series-title":"Int Heart J","first-page":"933","article-title":"A case of takotsubo-shaped hypokinesis of the left ventricle caused by a lightning strike","volume":"46","year":"2005","unstructured":"Hayashi\n              M\n            , YamadaH, AgatsumaT, NomuraH, KitaharaO.\n          A case of takotsubo-shaped hypokinesis of the left ventricle caused by a lightning strike. Int Heart J2005;46(5):933\u20138."},{"issue":"4","key":"i0730-2347-41-2-184-b14","series-title":"Chest","first-page":"887","article-title":"Natural history of tako-tsubo cardiomyopathy","volume":"139","year":"2011","unstructured":"Parodi\n              G\n            , BellandiB, Del PaceS, BarchielliA, ZampiniL, VelluzziS, et al. Natural history of tako-tsubo cardiomyopathy. Chest2011;139(4):887\u201392."},{"issue":"7","key":"i0730-2347-41-2-184-b15","series-title":"Am J Cardiol","first-page":"1015","article-title":"Clinical characteristics and four-year outcomes of patients in the Rhode Island Takotsubo Cardiomyopathy Registry","volume":"103","year":"2009","unstructured":"Regnante\n              RA\n            , ZuzekRW, WeinsierSB, LatifSR, LinskyRA, AhmedHN, SadiqI.\n          Clinical characteristics and four-year outcomes of patients in the Rhode Island Takotsubo Cardiomyopathy Registry. Am J Cardiol2009;103(7):1015\u20139."},{"issue":"3","key":"i0730-2347-41-2-184-b16","series-title":"Int J Cardiol","first-page":"e86","article-title":"Seven-year recurrence of left ventricular apical ballooning","volume":"145","year":"2010","unstructured":"Fabbiocchi\n              F\n            , MontorsiP, BartorelliAL.\n          Seven-year recurrence of left ventricular apical ballooning. Int J Cardiol2010; 145(3):e86\u20137."},{"issue":"2","key":"i0730-2347-41-2-184-b17","series-title":"Int J Cardiol","first-page":"256","article-title":"Recurrent takotsubo cardiomyopathy with similar clinical and instrumental signs","volume":"148","year":"2011","unstructured":"Carigi\n              S\n            , SantarelliA, BaldazziF, GrossetoD, SantoroD, PiovaccariG.\n          Recurrent takotsubo cardiomyopathy with similar clinical and instrumental signs. 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