[Transient apical dysfunction syndrome (Tako-Tsubo) simulating acute myocardial infarction].
Transient apical dysfunction syndrome (TADS) is frequently misdiagnosed as an acute coronary syndrome (ACS). It is characterized by electrocardiographic alterations and elevated myocardial necrosis markers, accompanied by hypokinesia, akinesia or anteroapical dyskinesia, in absence of significant coronary disorders. It generally resolves in days or weeks with individualized support measures. We present the case of a female patient referred to our service for a myocardial perfusion imaging study due to a history suggestive of an acute coronary syndrome after a stressful event.
Servicio de Medicina Nuclear, Hospital Clínico Universitario San Cecilio, Granada, Spain.
M J
MJ
Carrero Lérida
M C
MC
Mariscal Cerrato
C
C
Dávila Arias
A
A
López Ruiz
J
J
Caballero Güeto
D000208:Acute Disease; D000368:Aged; D001281:Atrial Fibrillation / Q000209:etiology; D015415:Biomarkers / Q000097:blood; D002637:Chest Pain / Q000209:etiology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D004630:Emergencies; D005260:Female; D015637:Gated Blood-Pool Imaging; D006801:Humans; D006973:Hypertension / Q000150:complications; D007022:Hypotension / Q000209:etiology; D009200:Myocardial Contraction; D009203:Myocardial Infarction / Q000175:diagnosis*; D055414:Myocardial Perfusion Imaging; D013315:Stress, Psychological / Q000150:complications; D054549:Takotsubo Cardiomyopathy / Q000000981:diagnostic imaging* / Q000209:etiology; D014463:Ultrasonography; D018487:Ventricular Dysfunction, Left / Q000209:etiology; D014754:Violence
D015415:Biomarkers