title: [Transient apical ballooning syndrome during dobutamine stress echocardiography].
abstract: The transient left ventricular apical ballooning syndrome, also known as Tako-Tusbo syndrome, has an acute onset, is more common in postmenopausal women, and is characterized by transient left ventricular apical ballooning, chest pain, electrocardiographic abnormalities, and slight elevation of markers for myocardial injury, mimicking a myocardial infarction in patients with no significant coronary lesions. However, before making the diagnosis, other causes of reversible left ventricular dysfunction must be ruled out, such as subarachnoid hemorrhage, pheochromocytoma crisis, acute myocarditis, or the presence of tachycardiomyopathy. The case is presented of a patient who developed ST elevation electrocardiographic changes with apical transient dyskinesia during dobutamine stress echocardiography.
authors.affiliation: Servicio de Cardiología, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, Las Palmas, España. Electronic address: efrencardio@gmail.com.
authors.forename: Efrén
authors.initials: E
authors.lastname: Martínez-Quintana
authors.affiliation: Servicio de Cardiología, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, Las Palmas, España.
authors.forename: Cristian
authors.initials: C
authors.lastname: Miranda-García
authors.affiliation: Servicio de Cardiología, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, Las Palmas, España.
authors.forename: Silvia
authors.initials: S
authors.lastname: Gopar-Gopar
authors.affiliation: Servicio de Cardiología, Complejo Hospitalario Universitario Insular-Materno Infantil, Las Palmas de Gran Canaria, Las Palmas, España.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Sáiz-Udaeta
authors.affiliation: Servicio de Oftalmología, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Las Palmas, España.
authors.forename: Fayna
authors.initials: F
authors.lastname: Rodríguez-González
mesh_terms: D000368:Aged; D002637:Chest Pain / Q000209:etiology; D025401:Echocardiography, Stress; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis* / Q000503:physiopathology; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis* / Q000209:etiology
keywords: Dobutamina; Dobutamine; Miocardiopatía por Tako-Tsubo; Síndrome de discinesia apical transitoria; Tako-Tsubo cardiomyopathy; Transient apical ballooning syndrome