[Three recurrent episodes of Tako-Tsubo cardiomyopathy precipitated by an emotional stressful event: a case report].
Tako-Tsubo cardiomyopathy, first described in 1990 by Sato in Japan, has recently gained increasing consideration when reported in non-Japanese patients, including the United States and Europe. Typical presentation mimics acute coronary syndrome, with acute chest pain and/or dyspnoea, associated to electrocardiographic changes and moderate cardiac biomarkers release, but in which coronary angiography reveals no coronary arteries lesions and echocardiography or left ventriculography shows a reversible left ventricle systolic dysfunction. Prognosis is good, in contrast to acute coronary syndrome, provided that the patients survive the possible life-threatening acute presentation, with correction of the left ventricle systolic dysfunction within several days or weeks. As noted in several reviews, 3.5% to 10% of the patients have a recurrence during the first few years after the initial presentation. Here, we described a case of a 60-year-old female who had three episodes of Tako-Tsubo always preceded by severe emotional stress suggesting a potential common etiopathogenesis.
Service des urgences, hôpital Hôtel-Dieu, centre hospitalier universitaire, 1, place A.-Ricordeau, 44000 Nantes, France. Electronic address: lemonlia@yahoo.com.
E
E
Montassier
J
J
Segard
A
A
Martinage
N
N
Goffinet
N
N
Piriou
P
P
Le Conte
G
G
Potel
J-P
JP
Gueffet
D015415:Biomarkers / Q000097:blood; D002637:Chest Pain / Q000209:etiology; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008016:Life Change Events; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D011379:Prognosis; D012008:Recurrence; D054549:Takotsubo Cardiomyopathy / Q000097:blood / Q000150:complications / Q000175:diagnosis* / Q000209:etiology*; D020107:Troponin T / Q000097:blood
D015415:Biomarkers; D020107:Troponin T