title: A "bad" case of Tako-Tsubo syndrome.
abstract: 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.
authors.affiliation: Department of Cardiology, University of Foggia, Foggia, Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Ieva
authors.forename: Michele
authors.initials: M
authors.lastname: Correale
authors.forename: Natale Daniele
authors.initials: ND
authors.lastname: Brunetti
authors.forename: Matteo
authors.initials: M
authors.lastname: Di Biase
mesh_terms: D000368:Aged; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D012422:Rupture, Spontaneous / Q000209:etiology; D054549:Takotsubo Cardiomyopathy / Q000150:complications* / Q000175:diagnosis