We have described a rare case of Takotsubo cardiomyopathy in pregnancy, which is presented with cardiac arrest (ventricular fibrillation) at onset. In this case, the transient left ventricular ballooning in absence of coronary artery disease, produced a severe impairment of cardiac function with typical echocardiographic and electrocardiographic findings. There were complications in the form of ventricular fibrillation, with recurrence due to possible Takotsubo cardiomyopathy and new malignant heart rhythm disorder that increases the mortality rate compared with the first attack of Takotsubo cardiomyopathy. Due to presented symptoms the patient has opted for the implantation of cardioverter defibrillator.
 Dote K, Sato H, Tateishi H, Uchida T, Ishihara M. (Myocardial stunning due to simultaneous multivessel coronary spasms: a review of 5 cases). J Cardiol 1991; 21: 203–214. Search in Google Scholar
 Hurst RT, Prasad A, Askew W, Sengupta PP, Tajik JA. Takotsubo cardiomyopathy: A unique cardiomyopathy with variable ventricular morphology. JACC Cardiovasc Imaging 2010; 3: 641–649 http://dx.doi.org/10.1016/j.jcmg.2010.01.00910.1016/j.jcmg.2010.01.009Search in Google Scholar
 Gianni M, Dentali F, Grandi AM, Sumner G, Hiralal R, Lonn E. Apical ballooning syndrome or Takotsubo cardiomyopathy: a systematic review. Europ Heart J 2006; 27: 1523–1529 http://dx.doi.org/10.1093/eurheartj/ehl03210.1093/eurheartj/ehl032Search in Google Scholar
 Syed FF, Asirvatham JS, Francis J. Arrhythmia occurrence with Takotsubo cardiomyopathy: a literature review. Europace 2011; 13: 780–788 http://dx.doi.org/10.1093/europace/euq43510.1093/europace/euq435Search in Google Scholar
 Previtali M, Repetto A, Panigada S, Camporotondo R, Ttavazzi. Left ventricular apical ballooning syndrome: Prevalence, clinical characteristics and pathogenetic mechanisms in a european population. Internat J of Cardiol 2009; 134: 91–96 http://dx.doi.org/10.1016/j.ijcard.2008.01.03710.1016/j.ijcard.2008.01.037Search in Google Scholar
 Bybee KA, Prased A, Barsness GW, Lerman A, Jaffe AS, Murphy JG et al. Clinical characteristics and thrombolysis in myocardial infarction frame counts in women with transient left ventricular apical ballooning syndrome. Am J Cardiol 2004; 94: 343–346 http://dx.doi.org/10.1016/j.amjcard.2004.04.03010.1016/j.amjcard.2004.04.030Search in Google Scholar
 Matsuoka K, Okubo S, Fujii E, Uchida F, Kasai A, Aoki T et al. Evaluation of the arrhythmogenecity of stress-induced Takotsubo cardiomyopathy“ from the time course of the 12-lead surface electrocardiogram. Am J Cardiol 2003; 92: 230–233 http://dx.doi.org/10.1016/S0002-9149(03)00547-210.1016/S0002-9149(03)00547-2Search in Google Scholar
 Samuelov-Kinori L, Kinori M, Kogan Y, Swatzon M, Shalev H, Guy D et al. Takotsubo cardiomyopathy and QT interval prolongation: who are the patients at risk for torsade de pointes? J Electrocardiol 2009; 42: 353–7e1 http://dx.doi.org/10.1016/j.jelectrocard.2009.01.00510.1016/j.jelectrocard.2009.01.005Search in Google Scholar PubMed
 Sharkey SV, Lesser JR, Zenovich AG, Maron MS, Lindberg J, Longe TF, Maron BJ. Acute and reversible cardiomyopathy provoked by stress in women from the United States. Circulation 2005; 111: 388–390 http://dx.doi.org/10.1161/01.CIR.0000153801.51470.EB10.1161/01.CIR.0000153801.51470.EBSearch in Google Scholar PubMed
 Elesber AA, Prasad A, Lennon RJ, Wright RS, Lerman A, Rihal CS. Four-year recurrence rate and prognosis of the apical ballooning syndrome. J Am Coll Cardiol 2007; 50: 448–452 http://dx.doi.org/10.1016/j.jacc.2007.03.05010.1016/j.jacc.2007.03.050Search in Google Scholar PubMed
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