title: [Postpartum Takotsubo cardiomyopathy: case report].
abstract: Takotsubo cardiomyopathy is characterized by acute and transient dysfunction of the apical segment of the left ventricle usually after an intense physical or emotional stress, mimicking an acute coronary syndrome. Because this is a rare syndrome, the differential diagnosis is particularly important and a high level of suspicion is essential. Obstetricians should be aware to diagnose and deal with this unexpected event. Treatment is essentially supportive, with spontaneous and complete reversal of the changes within days or weeks. The occurrence of complications may dictate a less benign prognosis. We report a case of Takotsubo cardiomyopathy in a 39-year-old woman who underwent Cesarean delivery. She presented with bradycardia, chest pain and pulmonary edema immediately after the delivery. Her echocardiography showed and apical ballooning. Cardiac biomarkers and electrocardiogram were altered and echocardiogram showed severe left ventricular dysfunction with hypokinesia of the anterior wall. Coronary angiography excluded obstructive coronary artery disease.
authors.affiliation: Serviço de Ginecologia e Obstetrícia, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal.
authors.forename: Vera Cristina Pereira
authors.initials: VC
authors.lastname: de Sousa
authors.affiliation: Serviço de Ginecologia e Obstetrícia, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal.
authors.forename: Ana Patrícia Lopes
authors.initials: AP
authors.lastname: Pinto
authors.affiliation: Serviço de Ginecologia e Obstetrícia, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal.
authors.forename: Ana Paula Calado
authors.initials: AP
authors.lastname: Lopes
authors.affiliation: Serviço de Ginecologia e Obstetrícia, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal.
authors.forename: Fernanda Maria Ervedoso
authors.initials: FM
authors.lastname: Gomes
authors.affiliation: Serviço de Ginecologia e Obstetrícia, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal.
authors.forename: Maria de Lurdes das Neves Ferreira
authors.initials: Mde L
authors.lastname: Pinho
authors.affiliation: Serviço de Ginecologia e Obstetrícia, Centro Hospitalar Barreiro Montijo, Barreiro, Portugal.
authors.forename: Maria Isabel Silva
authors.initials: MI
authors.lastname: Marques
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D011644:Puerperal Disorders / Q000175:diagnosis / Q000188:drug therapy; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis / Q000188:drug therapy