title: Takotsubo Syndrome: A Pathway through the Pituitary Disease.
abstract: Takotsubo cardiomyopathy (TTC) is characterized by reversible left ventricular apical and/or midventricular hypokinesia with unknown etiology. The clinical presentation is similar to acute myocardial infarction in the absence of significant obstructive coronary artery disease. Various predisposing factors have been related to TTC, such as acute neurological illnesses, endocrine diseases, pain, and emotional stress. We present the first description of an association between TTC cardiomyopathy and panhypopituitarism. This case reinforces the connection between the hormonal and cardiovascular systems. Furthermore, it supports the importance of a comprehensive and integrated medical history in the approach of a patient with cardiac disease, towards clinical decision-making.
authors.affiliation: Hospital Santa Maria, Cardiology Department, Lisbon Academic Medical Centre, CCUL, Lisbon, Portugal.
authors.forename: Rui
authors.identifier: 0000-0003-4164-5481
authors.initials: R
authors.lastname: Plácido
authors.affiliation: Hospital de Santa Maria, Avenida Professor Egas Moniz, 1649-035 Lisboa, Portugal.
authors.forename: Ana Filipa
authors.initials: AF
authors.lastname: Martins
authors.affiliation: Hospital Santa Maria, Cardiology Department, Lisbon Academic Medical Centre, CCUL, Lisbon, Portugal.
authors.forename: Susana
authors.initials: S
authors.lastname: Robalo Martins
authors.affiliation: Hospital de Santa Maria, Avenida Professor Egas Moniz, 1649-035 Lisboa, Portugal.
authors.forename: Sónia
authors.initials: S
authors.lastname: do Vale
authors.affiliation: Hospital Santa Maria, Cardiology Department, Lisbon Academic Medical Centre, CCUL, Lisbon, Portugal.
authors.forename: Ana G
authors.initials: AG
authors.lastname: Almeida
authors.affiliation: Hospital Santa Maria, Cardiology Department, Lisbon Academic Medical Centre, CCUL, Lisbon, Portugal.
authors.forename: Fausto
authors.initials: F
authors.lastname: Pinto
authors.affiliation: Hospital de Santa Maria, Avenida Professor Egas Moniz, 1649-035 Lisboa, Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Martin Martins