title: A broken heart in a broken car.
abstract: Takotsubo syndrome (TTS) is still a relatively understudied and often undetected disease. It is usually preceded by emotional or physical triggers. We here report a case of TTS following a car accident. Typical apical ballooning with moderate reduction of left ventricular ejection fraction (LVEF) and increased level of pro-B-type natriuretic peptide (BNP) as well as slightly increased creatine kinase and troponin T values were found in this 76-year-old female patient, 6 h after a car accident. At 10 weeks follow-up, we observed a normalization of regional wall motion, LVEF, electrocardiogram and pro-BNP. TTS is an acute heart failure syndrome and an important differential diagnosis of acute coronary syndrome.
authors.forename: Susanne Anna
authors.initials: SA
authors.lastname: Schlossbauer
authors.forename: Jelena-Rima
authors.initials: JR
authors.lastname: Ghadri
authors.forename: Victoria Lucia
authors.initials: VL
authors.lastname: Cammann
authors.forename: Willibald
authors.initials: W
authors.lastname: Maier
authors.forename: Thomas F
authors.initials: TF
authors.lastname: Lüscher
authors.affiliation: University Hospital Zurich University Heart Center Department of Cardiology Rämistr. 100 8091 Zurich. christian.templin@usz.ch.
authors.forename: Christian
authors.initials: C
authors.lastname: Templin
mesh_terms: D000063:Accidents, Traffic; D000368:Aged; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D013318:Stroke Volume; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis* / Q000503:physiopathology
keywords: apical ballooning; broken heart syndrome; takotsubo syndrome