Takotsubo syndrome (TS) describes a transient type of dilated cardiomyopathy that mimics acute coronary syndrome (ACS) on initial presentation. Classic TS presents with marked dilation and ballooning of the left ventricular apex with hyperdynamic basal segments. The most frequent etiology is from emotional and stressful triggers; recently, evidence suggests neurologic and psychiatric involvement. There are increasing reports of TS occurring secondary to migraine abortives. We describe a unique case of TS in a woman after taking sumatriptan to abort her headache.
minoca, migraines, headaches, triptans, sumatriptan, broken heart syndrome, takotsubo syndrome, myocardial infarction with non-obstructive coronary arteries (minoca), myocardial infarction with nonobstructive coronary arteries, stress induced cardiomyopathy
Valentine MJ, Kramer HD, Kim J, Pettinelli N, Hu T. Heart Break or Headache: A Case Report of Sumatriptan-Induced Takotsubo Syndrome. Cureus. 2023; 15(9). doi: 10.7759/cureus.45990.