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2004, Número 3

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Arch Cardiol Mex 2004; 74 (3)


Síndrome Tako-Tsubo (Discinesia antero-apical transitoria): Primer caso descrito en América Latina y revisión de la literatura

Gaspar J, Gómez CRA

Idioma: Español
Referencias bibliográficas: 37
Paginas: 205-214
Archivo PDF: 241.27 Kb.


RESUMEN

El síndrome Tako-Tsubo es una entidad clínica de reciente descripción que simula un infarto agudo del miocardio. Comprende la asociación de dolor precordial con elevación de ST-T en derivaciones precordiales en ausencia de la oclusión de alguna arteria coronaria y con una deformación típica y reversible del ventrículo izquierdo como consecuencia de discinesia anteroapical con hipercinesia basal. Afecta predominantemente al sexo femenino y en una revisión de 2001 se refiere que sólo dos casos habían sido reportados en pacientes no japoneses. Presentamos un caso típico de síndrome Tako-Tsubo recurrente y desencadenado por estrés emotivo. Este es el primer caso informado de Latinoamérica, el que se complementa con una revisión actualizada de la literatura. Esta última sugiere que el síndrome Tako-Tsubo es más frecuente de lo sospechado, pero suele pasar desapercibido. Es importante reconocer este síndrome ya que su manejo y pronóstico es diferente al del infarto agudo del miocardio que resulta de la oclusión trombótica de una placa ateroesclerosa coronaria.


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