Takotsubo (stress) cardiomyopathy induced by acute asthma exacerbation in elderly woman

Abstract

A 73‐year‐old patient who was admitted secondary to acute asthma exacerbation that required frequent salbutamol and adrenaline nebulization. Takotsubo cardiomyopathy (TTC) was diagnosed after the new onset of chest pain with modest troponin elevation and normal coronary angiogram. Low ejection fraction and apical akinesia were completely resolved after her symptoms got improved.Physical stressors, like acute illnesses, can trigger takotsubo cardiomyopathy (TTC). Excessive exposure to inhaled sympathomimetic agents, such as adrenaline or salbutamol, increase the risk of takotsubo cardiomyopathy (TTC). Tight asthma control is important to minimize the risk of severe complications related to the disease itself and its management.