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Can aldosterone break your heart? Takotsubo cardiomyopathy in a patient with newly diagnosed primary aldosteronism
  1. Dominika M Zoltowska1,
  2. Yashwant Agrawal2,
  3. Jagadeesh K Kalavakunta3
  1. 1Department of Internal Medicine, Western Michigan University, School of Medicine, Kalamazoo, Michigan, USA
  2. 2Department of Internal Medicine, Western Michigan University Homer Stryker School of Medicine, Kalamazoo, Michigan, USA
  3. 3Department of Cardiology, Borgess Medical Center, Michigan State University, Kalamazoo, Michigan, USA
  1. Correspondence to Dr Dominika M Zoltowska, dominika.zoltowska{at}


We report a case of a 47-year-old Caucasian woman with medical history of hypertension and hypokalemia, who presented to Emergency Room with symptoms resembling acute coronary syndrome ST-segment elevation myocardial infarction. Coronary angiogram revealed clear coronary arteries and left ventriculogram confirmed the diagnosis of Takotsubo cardiomyopathy. She was treated conservatively with good clinical outcome. Subsequent testing revealed underlying primary aldosteronism.

  • cardiovascular medicine
  • heart failure
  • interventional cardiology
  • endocrinology
  • adrenal disorders
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  • Contributors DMZ and YA were resident physicians admitting and following the patient during the hospitalisation. JKK was an attending cardiologist performing left ventricle heart catheterisation and following the patient during admission and in outpatient cardiology clinic after discharge.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

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

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