title: [Takotsubo syndrome in a young woman during puerperium: case report].
abstract: BACKGROUND
  Takotsubo syndrome is a reversibile cardiomyopathy that often occurs during an emotional stress and is more frequent in post-menopausal women.
  
  
  METHODS
  We describe a clinic case of a 42 years old woman, admitted to our emergency unit because of a thoracic pain. The ECG showed ST-T elevation in V1-V4, the echocardiography revealed akinesia of apical segment of left ventricle. Coronary arteries were free from significant stenosis and ventriculography showed akinesia of apical segment of left ventricle. In the following days, ECG evolved toward a normalization of ST-T segment with appearance of negative T wave in V2-V6, and also the echocardiography showed a normalized LV wall motion. The patient was discharged and ECG and echocardiography were normal at two months follow up.
  
  
  CONCLUSIONS
  In this case report, a young woman during puerperium presented with a Takotsubo syndrome. We speculate that the high Prolactin level and her emotional state contributed to the clinical manifestation of the syndrome.
authors: Department of Clinical Medicine, Cardiovascular and Immunological Sciences, Cardiac Rehabilitation Unit, University of Naples "Federico II", Via Pansini, 5; 80131 Naples, Italy. antonietta.dagostino@libero.it
authors: Mariantonietta
authors: M
authors: D'Agostino
authors: Francesco
authors: F
authors: Giallauria
authors: Caterina
authors: C
authors: Montuori
authors: Francesca
authors: F
authors: Farina
authors: Luigi
authors: L
authors: Maresca
authors: Maria
authors: M
authors: Mancini
authors: Giorgio
authors: G
authors: Torella
authors: Domenico
authors: D
authors: Del Forno
authors: Sara
authors: S
authors: Aurino
authors: Carmine
authors: C
authors: Chieffo
authors: Carlo
authors: C
authors: Vigorito
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D049590:Postpartum Period; D011388:Prolactin / Q000097:blood; D054549:Takotsubo Cardiomyopathy / Q000097:blood / Q000175:diagnosis* / Q000523:psychology
chemical_list: D011388:Prolactin