# Co-occurrence of Obstructive Coronary Artery Disease and Takotsubo Cardiomyopathy

## TL;DR

This paper reports a rare case where a man had both heart muscle stress (Takotsubo) and blocked arteries, which are usually separate conditions.

## Contribution

The novelty lies in documenting a rare coexistence of obstructive coronary artery disease and Takotsubo cardiomyopathy in a cancer survivor.

## Key findings

- A 49-year-old man with a history of rectal cancer presented with Takotsubo cardiomyopathy.
- He also had acute occlusion of the left circumflex artery, indicating co-occurring obstructive coronary artery disease.
- This case highlights the rare possibility of these two cardiac conditions occurring simultaneously.

## Abstract

Takotsubo syndrome, a type of transient cardiomyopathy, is typically triggered by emotional or physical stress and exhibits symptoms like acute coronary syndrome (ACS). The condition often results in apical ballooning of the left ventricle, which can hinder the heart's ability to circulate blood throughout the body effectively. While Takotsubo syndrome does not occur alongside obstructive coronary artery disease (CAD), there are rare cases where both conditions coexist. This report details an uncommon case of Takotsubo cardiomyopathy in a 49-year-old man who had previously been in remission for rectal adenocarcinoma. He presented with atypical symptoms consistent with Takotsubo cardiomyopathy while also experiencing acute occlusion of the left circumflex artery.