Iatrogenic takotsubo cardiomyopathy following overdose norepinephrine administration during percutaneous coronary intervention a case report

Abstract

Takotsubo cardiomyopathy (TTC) is characterized by reversible ventricular dysfunction induced by endoge-nous and, occasionally, exogenous catecholamine. We present a report on a patient who developed TTC and cardiogenic shock during percutaneous coronary intervention (PCI) secondary to inadvertent norepinephrine ad-ministration. His hemodynamic status and cardiac function were totally restored within 1 week after hemodynamic support using intra-aortic balloon pump without sequela. Thus, TTC should be considered once a patient presents with symptoms mimicking acute coronary syndrome (ACS) after catecholamine administration.