Case reportStress-induced cardiomyopathy associated with ipratropium bromide therapy in a patient with chronic obstructive pulmonary diseaseCardiomiopatia associada ao stress após terapêutica com brometo de ipratrópio em doente com doença pulmonar obstrutiva crónica

Stress-induced cardiomyopathy, also known as ‘broken heart syndrome’ or Takotsubo cardiomyopathy, is characterized by transient systolic dysfunction of the apical and/or mid segments of the left ventricle, in the absence of significant coronary artery disease. We report the case of a 56-year-old male patient with chronic obstructive pulmonary disease (COPD), with stress-induced cardiomyopathy associated with the use of ipratropium bromide, administered in the context of an acute exacerbation of COPD.