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>Journals >Cirugía y Cirujanos >Year 2010, Issue 2


Pacheco-Bouthillier AD, Maza-Juárez G, Vargas-Guzmán RM, Santiago-Hernández J, Almeida-Gutiérrez E, Borrayo-Sánchez G
Síndrome de takotsubo. Informe de un caso y revisión de la literatura
Cir Cir 2010; 78 (2)

Language: Español
References: 25
Page: 157-161
PDF: 327.13 Kb.

[Full text - PDF]

ABSTRACT

Background: Takotsubo Syndrome is a cardiopathy characterized by a dyskinesia or left ventricular apical ballooning and subsequent recovery of ventricular function. We undertook this study to present a case of Takotsubo syndrome.
Clinic case: We present the case of a 60-year-old female with a 26-year history of systemic arterial hypertension treated with 40 mg of termisartan daily. She started with headache after an emotional event (as a witness to an aggression of her son), associated with elevation of blood pressure that suddenly was accompanied by intense oppressive chest pain and neurovegetative symptoms. Electrocardiogram showed ST-segment elevation in anteroseptal and lateral derivations. Catheterization showed a 50% obstruction in the anterior descending artery and apical dyskinesia with base hypercontractility and 35% left ventricular ejection fraction. We performed stent angioplasty in the responsible artery. Nuclear medicine study showed extensive apical infarction, and echocardiogram agreed with transient apical dyskinesia and basal hypercontractility. After a 1-month evolution, echocardiogram mobility was completely recovered and myocardial perfusion study was normal 4 months later.
Conclusions: We show a transitory apical ballooning secondary to acute myocardial infarction associated with a significantly stressful event that resulted in complete improvement of ventricular function with percutaneous coronary intervention during the following 4 months.


Key words: Takotsubo syndrome, ballooning, acute myocardial infarction, percutaneous coronary intervention.


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