TABLE 5.

Stress Cardiomyopathy in Young Individuals

Epidemiology

Rare in younger than age 60 yrs

<10% in ≤55 yrs of age

<2% in ≤35 yrs of age

Comorbidities

Psychiatric disorders

Schizophrenia

Anorexia nervosa

Triggers

Often physical triggers

Pregnancy/delivery

Medications (catecholamines/anesthetics)

Drugs of abuse (cannabis/amphetamines)

Anatomical Pattern/Variant

More often atypical forms

Basal (inverted Takotsubo)

Midventricular

Prognosis

High risk

High risk of arrhythmias

Hemodynamic instability

Greater propensity for recurrence