[Transient ventricular dysfunction (Takotsubo cardiomyopathy)].
The patient was a male with myasthenia gravis, hospitalized with acute respiratory failure due to decompensation of the underlying disease. He evolved with findings suggestive of acute myocardial infarction, with electrocardiographic and enzymatic alterations compatible with that diagnosis. The patient underwent emergency coronary angiography, which showed no severe coronary obstruction, although his left ventricle had significant systolic dysfunction with characteristic alterations, on ventriculography, of the syndrome described as transient ventricular dysfunction or Takotsubo syndrome. On evolution, complete recovery of the electrocardiographic alterations and systolic ventricular function assessed on echocardiography occurred, confirming the syndrome.
Sousa
José Marconi Almeida de
JM
Hospital Israelita Albert Einstein, São Paulo, SP. jmarconi@cardiol.br
Knobel
Marcos
M
Buchelle
Gustavo
G
Sousa
José Augusto M de
JA
Fisher
Cláudio H
CH
Born
Daniel
D
Akamine
Nelson
N
Knobel
Elias
E
D009202:Cardiomyopathies / Q000175:diagnosis*; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis*; D013577:Syndrome; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis*