A "bad" case of Tako-Tsubo syndrome.
The prognosis of Tako-Tsubo syndrome (TTS) is believed to be favorable. In most of the cases, there is a complete recovery of left ventricular (LV) function and of symptoms, but previous cases have been described with low-output syndrome, deaths within the first 24 h from acute heart failure, and some deaths due to LV free wall rupture. We describe a case of a patient with TTS who died after right ventricular (RV) free wall rupture. Furthermore, this report suggests that cardiac magnetic resonance imaging with echocardiography might be a useful integrated imaging diagnostic tool for the diagnosis of TTS, ruling out acute coronary syndrome.
Ieva
Riccardo
R
Department of Cardiology, University of Foggia, Foggia, Italy.
Correale
Michele
M
Brunetti
Natale Daniele
ND
Di Biase
Matteo
M
D000368:Aged; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D012422:Rupture, Spontaneous / Q000209:etiology; D054549:Takotsubo Cardiomyopathy / Q000150:complications* / Q000175:diagnosis