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Colegio de Medicina Interna de México.

2021, Number 5

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Med Int Mex 2021; 37 (5)

Takotsubo syndrome

González-Botello AL, Borges-Ocejo X, Lozano-Hernández G, Almaráz-Ríos A

Language: Spanish
References: 15
Page: 874-883
PDF size: 586.97 Kb.


ABSTRACT

Background: Takotsubo syndrome, also known as stress cardiomyopathy, is a condition triggered by emotional factors or intense physical stress; postmenopausal women are the predominant population.
Clinical cases: A series of cases is presented. In the first clinical case a primary takotsubo syndrome is exposed in a 60-year-old female patient with chest pain, accompanied by exaggerated neurovegetative response related to a previous emotional event. On the second case, a 69-year-old female patient suffered a fall in her own support plane, with direct contusion on the thorax, developing later a secondary takotsubo syndrome. In both cases an electrocardiogram with T-wave reversal and ST segment elevation, cardiac enzyme elevation, and a characteristic imaging study, showing no coronary artery injury, as well as a left ventricle with severe apical hypokinesia giving a characteristic image in the form of a vase of takotsubo.
Conclusions: The diagnosis of takotsubo syndrome is challenging due to the similarity of the clinical picture to an acute coronary syndrome. Definitive diagnosis requires a ventriculography that shows the characteristic pattern in the shape of the vessel that gives to the syndrome its name.


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