Dobutamine stress echocardiography-induced broken heart syndrome (Takotsubo Syndrome).
We report a case of dobutamine stress echocardiography-induced Takotsubo syndrome in a 76-year-old hypertensive patient with clinical complaints of chest pain in an elective visit to the cardiologist. Dobutamine-stress-echocardiography was requested to rule out chest pain of coronary origin. During the test, at peak exercise, echocardiogram showed apical akinesia and electrocardiogram showed ST-segment elevation in D1, AVL, and V2. The patient was hospitalized and underwent coronary angiography, which showed normal coronary arteries and left ventricular apical ballooning. During follow-up, the patient's condition remained stable, with regression of the manifestations 21 days after the initial presentation.
Vasconcelos Filho
Francisco Juarez Cruz de
FJ
Hospital Regional da Unimed, Fortaleza, Ceará, Brazil. fjcvf@cardiol.br
Gomes
Cezario Antonio Martins
CA
Queiroz
Oscar Aires de
OA
Barreto
José Erirtonio Façanha
JE
D000368:Aged; D002637:Chest Pain / Q000175:diagnosis*; D025401:Echocardiography, Stress / Q000009:adverse effects*; D005260:Female; D006801:Humans; D054549:Takotsubo Cardiomyopathy / Q000209:etiology*