Takotsubo cardiomyopathy causing transitory ventricular dysfunction.
This is the report of a 74-year-old female patient with a history of systemic hypertension and peripheral vascular disease who presented acute coronary syndrome symptoms. Coronary angiography showed coronary arteries with no significant obstructions. Ventriculography and echocardiography showed akinesia in mid and apical segments; and hyperkinesia of left ventricle basal segments. Two weeks after the onset of symptoms, a new echocardiogram demonstrated normal global and regional systolic function. The uncommon, reversible pattern for systolic dysfunction and segmental compromising that gives left ventricle a Takotsubo-like shape is known today as stress cardiomyopathy.
Alves
Angele A
AA
Instituto do Coração (InCor)- HCFMUSP - São Paulo, SP - Brazil.
Kowatsch
Ingrid
I
Tsutsui
Jeane Mike
JM
Nicolau
José C
JC
Lima
Marta F
MF
Mathias
Wilson
W
D000368:Aged; D002395:Catecholamines / Q000032:analysis; D003971:Diastole; D004452:Echocardiography; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis; D011859:Radiography; D013315:Stress, Psychological / Q000150:complications*; D013599:Systole; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology
D002395:Catecholamines