Consequences of misdiagnosis and mismanagement of takotsubo cardiomyopathy

Chirayu Vyas, Sanjay Shah, Sameer Pancholy, Tejas Patel, Isam Moussa

Research output: Contribution to journalArticlepeer-review


We report a patient who presented with takotsubo cardiomyopathy but was misdiagnosed as an anterior wall ST elevation myocardial infarction (AWMI). We illustrate how misdiagnosis led to mismanagement by initiating intravenous inotropic agents that led to further hemodynamic compromise. Subsequent withdrawal of the inotropic agents and simultaneous administration of oral metoprolol therapy led to hemodynamic and clinical improvement re-affirming the diagnosis of takotsubo cardiomyopathy.

Original languageEnglish (US)
Pages (from-to)117-119
Number of pages3
JournalAcute Cardiac Care
Issue number4
StatePublished - Dec 2012
Externally publishedYes


  • Acute anterior wall myocardial infarction
  • Cardiogenic shock
  • Intracerebral hemorrhage
  • Takotsubo cardiomyopathy

ASJC Scopus subject areas

  • Emergency Medicine
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine


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