title: [Does the Tako-Tsubo syndrome need a certain coronary anatomy in the apical ventricular region as predisposing factor?].
abstract: The Tako-Tsubo transient left ventricular apical ballooning was born as a clinical profile in the year 2001. This syndrome occurs mainly in women older than 60 years and it is frequently preceded by a physical or emotional stress. Its presentation simulates a myocardial infarction, although with some differences: the pain is not always typical, and its intensity is moderate. The electrocardiogram reveals an elevation of ST in the anterior face in 90% of the cases; from the second day on, negative T waves in V2 through V6 leads are present, along with prolongation of the QTc interval. Enzymes are poorly elevated as expected from the electrical alterations. The alteration that defines the syndrome is the hypokinesis or akinesis of the apical segments with hyperkinesis of the basal ones. The main uncertainty of the Tako-Tsubo syndrome is its pathogenesis, its elucidation will provide advances in the practical handling of this syndrome2. We present the clinical case of a patient with this syndrome and a review of the existing medical literature on the possible association with a predisposing coronary anatomy in the apical segment.
authors.affiliation: Hospital Universitario Virgen del Rocío, Sevilla, España. jaimenevado@hotmail.com
authors.forename: Jaime
authors.initials: J
authors.lastname: Nevado Portero
authors.forename: Mónica
authors.initials: M
authors.lastname: Fernández Quero
authors.forename: Javier
authors.initials: J
authors.lastname: Jiménez Díaz
authors.forename: Javier
authors.initials: J
authors.lastname: Benezet Mazuecos
authors.forename: Ana
authors.initials: A
authors.lastname: Campos Pareja
mesh_terms: D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004562:Electrocardiography; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D013315:Stress, Psychological / Q000150:complications*; D013577:Syndrome; D013997:Time Factors; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology