# Takotsubo Cardiomyopathy Associated With Influenza A and a Ground-Level Fall

## TL;DR

An elderly woman developed takotsubo cardiomyopathy after an influenza infection and a fall, showing how infections can trigger heart issues.

## Contribution

This case emphasizes the need to consider TC in elderly women with heart symptoms during infections.

## Key findings

- The patient had takotsubo cardiomyopathy without coronary artery stenosis.
- Her ejection fraction returned to normal after nine months.
- Influenza A and a fall were associated with the condition.

## Abstract

Our case involves a 92-year-old female who presented to the emergency department due to a ground-level fall and difficulty breathing. She was found to have influenza A, elevated troponin, and decreased left ventricular ejection fraction. However, cardiac catheterization did not reveal any coronary artery stenosis, supporting a diagnosis of takotsubo cardiomyopathy (TC). The patient’s ejection fraction was normal after nine months. This case highlights the importance of considering TC in elderly female patients who have reduced ejection fraction and elevated troponin in the setting of infection and a recent fall.