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Background: Stress-induced cardiomyopathy, also known as Takotsubo cardiomyopathy or apical ballooning syndrome, is a disease of acute reversible myocardial injury characterized by transient localized systolic left ventricular insufficiency.
Methods: Appropriate laboratory tests are carried out, Next Generation Sequencing (NGS), Echocardiography.
Results: Postoperative echocardiography showed myocardial dysplasia of the left ventricle and abnormal wall motion of the left ventricular phases. NGS: Burkholderia cepacia onionis, human herpesvirus type 6B, and human polyomavirus type 2. The patient's condition improved after aggressive anti-infective and symptomatic treatment.
Conclusions: Because of the difficulty in distinguishing acute coronary syndromes from stress-induced cardiomyopathy, we should be on the lookout for stress-induced cardiomyopathy in any patient who develops a severe physical or emotional reaction during the perioperative period, with electrocardiographic abnormalities and refractory hypotension. Prompt and effective treatment can reverse myocardial damage.
DOI: 10.7754/Clin.Lab.2025.250614
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