{"pk":41970,"title":"Takotsubo Syndrome Following Status Epilepticus in a Heart Transplant Recipient: A Case Report","subtitle":null,"abstract":"<p><strong>Introduction:</strong> Takotsubo syndrome (TTS) expresses transient wall motion abnormality of the left ventricle, reportedly induced by sympathetic overstimulation. Takotsubo syndrome is unlikely to be included in the differential diagnosis of heart transplant patients with sudden cardiac dysfunction given the complete denervation occurring during the transplantation.  </p>\n<p><strong>Case Report:</strong> In this case report we describe the case of a female heart transplant recipient who showed apical ballooning on an echocardiogram following status epilepticus. Detailed clinical examinations and her clinical course confirmed the diagnosis of TTS. An iodine-123 meta iodobenzylguanidine myocardial scintigraphy revealed partial cardiac sympathetic reinnervation in the transplanted heart.  </p>\n<p><strong>Conclusion:</strong> This case demonstrates that TTS can manifest itself even in a transplanted heart with partial sympathetic reinnervation.</p>","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Takotsubo Syndrome"},{"word":"Heart Transplantation"},{"word":"reinnervation"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7xz6g72m","frozenauthors":[{"first_name":"Takeshi","middle_name":"","last_name":"Shikama","name_suffix":"","institution":"The University of Tokyo, Department of Emergency and Critical Care Medicine, Tokyo, Japan","department":""},{"first_name":"Mio","middle_name":"","last_name":"Shikama","name_suffix":"","institution":"The University of Tokyo, Department of Emergency and Critical Care Medicine, Tokyo, Japan","department":""},{"first_name":"Naoki","middle_name":"","last_name":"Hayase","name_suffix":"","institution":"The University of Tokyo, Department of Emergency and Critical Care Medicine, Tokyo, Japan","department":""},{"first_name":"Kent","middle_name":"","last_name":"Doi","name_suffix":"","institution":"The University of Tokyo, Department of Emergency and Critical Care Medicine, Tokyo, Japan","department":""}],"date_submitted":"2025-01-17T18:57:51.046000-06:00","date_accepted":"2025-01-17T20:11:29.299000-06:00","date_published":"2025-01-17T11:27:00-06:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/41970/galley/31551/download/"}]}