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Perfect storm along the neuro-cardiac axis: stroke complicated by acute biventricular dysfunction—Takotsubo syndrome or neurogenic stress cardiomyopathy?
  1. Meghan Jackson1 and
  2. Shravan Nosib2
  1. 1Internal Medicine, University of Saskatchewan College of Medicine, Saskatoon, Saskatchewan, Canada
  2. 2Cardiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
  1. Correspondence to Dr Shravan Nosib; shravan.nosib{at}


Acute biventricular dysfunction complicating acute ischaemic stroke poses diagnostic and therapeutic challenges with respect to anticoagulation and short-term and long-term prognosis. We present the uncommon case of an elderly patient presenting with this clinical scenario, who made a full recovery on conservative therapy. Management strategies are discussed and the emerging topic of neuro-cardiac syndromes, namely neurogenic stress cardiomyopathy as distinct from Takotsubo syndrome, is explored.

  • heart failure
  • stroke

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  • Contributors MJ has written the case report and managed the patient. SN has revised the manuscript, written the discussion and was the consultant in charge of the patient’s care.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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