QT Prolongation and In-Hospital Ventricular Arrhythmic Complications in Patients With Apical Ballooning Takotsubo Syndrome

Case report: A 56-year-old woman presenting with torsades de pointes and cardiac arrest associated with levosimendan administration and underlying congenital long QT syndrome type 1

“…However, according to the patient's clinical course and current literature, other acquired factors except levosimendan administration may have been involved in determining the occurrence of the TdP, such as the use of epinephrine [ 23 ] and possible Takotsubo syndrome [ 24 ]. Ventricular arrhythmias, including TdP, are described in up to 3–20 % of patients with Takotsubo syndrome [ [24] , [25] , [26] , [27] ]. Even though levosimendan seems to accelerate recovery in patients with Takotsubo cardiomyopathy [ 28 ], the occurrence of TdP during treatment has nevertheless been described [ 29 ].…”