Takotsubo cardiomyopathy and flecainide toxicity: a case report and brief literature review

A. Moretti, M. Polselli, I. Carbone, G. Pannarale, M.C. Acconcia, C. Torromeo, R. Quaglione, F. Barillà, C. Gaudio

Department of Clinical, Internistic, Anaesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy. giuseppe.pannarale@uniroma1.it

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• Cardiology

OBJECTIVE: Takotsubo syndrome, also known as stress cardiomyopathy, is predominantly reported in postmenopausal women and it is often triggered by a physical or emotional stressor.

CASE REPORT: We present the case of a 44-year-old Caucasian woman admitted to the emergency department after voluntary intake of 20 tablets of flecainide 150 mg to commit suicide. During the in-hospital stay in the Cardiac Intensive Care Unit, the patient developed Takotsubo syndrome.

CONCLUSIONS: The relative role of flecainide as a possible trigger of the syndrome is discussed in the context of the current literature evidence.

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