Stress cardiomyopathy: takotsubo
Keywords:
stress cardiomyopathy, transient apical dyskinesia, left ventricular dysfunctionAbstract
Clinic. A 83-year-old woman who presented with acute chest pain after an intense emotional stimulus.
Diagnostic tests. EKG showed negative T waves in anterior and ultrasensitive troponins were raised. The echocardiogram showed an intensely depressed with akinesia media and distal segments of all sides and apex, with conventional coronary angiography systolic function without significant lesions. The MRI was consistent with stress cardiomyopathy (ECM) takotsubo.
Discussion. of uncertain origin, the ECM can mimic myocardial infarction with normal coronary arteries and good prognosis.
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Dote K, Sato H, Tateishi H, Uchida T, Ishihara M. Myocardial stunning due to simultaneous multivessel coronary spasms: a review of 5 cases. J Cardiol. 1991; 21: 203-14.
Kurowski V, Kaiser A, von Hof K, Killermann DP, Mayer B, Hartmann F, et al. Apical and midventricular transient left ventricular dysfunction syndrome (tako-tsubo cardiomyopathy): frequency, mechanisms, and prognosis. Chest. 2007; 132: 809-16.
Templin C, Ghadri JR, Diekmann J, Napp LC, Bataiosu DR, Jaguszewski M, et al. Clinical features and outcomes of takotsubo (stress) cardiomyopathy. N Engl J Med. 2015; 373: 929-38.
Bybee KA, Prasad A, Barsness GW, Lerman A, Jaffe AS, Murphy JG, et al. Clinical characteristics and thrombolysis in myocardial infarction frame counts in women with transient left ventricular apical ballooning syndrome. Am J Cardiol. 2004; 94: 343-6.
Sánchez- Recalde A, Costero O, Oliver JM, Iborra C, Ruiz E, Sobrino JA. Images in cardiovascular medicine. Pheochromocytoma-related cardiomyopathy: inverted takotsubo contractile pattern. Circulation. 2006; 113: e738-9.
Jaguszewski M, Osipova J, Ghadri JR, Napp LC, Widera C, Franke J. A signature of circulating microRNAs differentiates takotsubo cardiomyopathy from acute myocardial infarction. Eur Heart J. 2014; 35: 999-1006.
Núñez-Gil IJ, Molina M, Bernardo E, Ibáñez B, Ruiz-Mateos B, García-Rubira JC, et al. Takotsubo syndrome and heart failure: long-term follow-up. Rev Esp Cardiol. 2012; 65: 996-1002.
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Copyright (c) 2016 A García-García, E Cervilla-Muñoz, I García-Fernández-Bravo, P Demelo-Rodríguez, JC Cano-Ballesteros
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