Ravelo DR, Martínez GG, Yunez SP

Language: Spanish
References: 7
Page: 378-384
PDF size: 167.71 Kb.

ABSTRACT

Broken heart syndrome, or worldwide better known as Tako-Tsubo syndrome, is easily confused with an acute coronary event in postmenopausal women because of its clinical presentation. The patient presents symptoms similar to an acute myocardial infarction: anginal chest pain, ST segment and T wave changes in precordial leads and elevation of biomarkers of myocardial damage. The hallmark of this clinical rarity is systolic dysfunction of the left ventricle with transient dyskinesia of the mid apical segments in the absence of significant coronary disease. Fortunately, these patients have a good prognosis and full recovery occurs in a few days or weeks. We describe the clinical case of a postmenopausal woman who was attended by an acute myocardial infarction of the anterior face; no significant coronary lesions were found, and ventriculography showed left ventricular midapical ballooning which is characteristic of this entity. On follow-up the patient had complete recovery of the systolic function.

REFERENCES

1. Sato H, Tateishi H, Uchida T. Tako-Tsubo-type cardiomyopathy due to multivessel spasm. En: Kodama K, Haze K, Hon M, editors: Clinical Aspect of Myocardial Injury; From Ischemia to Heart Failure. Tokyo. Kagakuhyouronsya Co. 1990;56-64.

2. Tsuchihashi K, Ueshima K, Uchida T, Oh-Mura N, Kimura K, Owa M, et al. Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction. J Am Coll Cardiol. 2001;38(1):11-8.

3. Gaspar J, Gómez RA. Síndrome Tako-Tsubo (Discinesia antero-apical transitoria): Primer caso descrito en América Latina y revisión de la literatura. Arch Cardiol Mex. 2004;74:205-14.

4. Fortuna L, Moreira E, Hamity L, Aladay L, Contreras A, Tibaldi. Síndrome de Tako-Tsubo, experiencia en tres Instituciones de La Ciudad de Córdova. Medicina (Buenos Aires). 2014;74(1):42-8.

5. Sénior JM, Tamayo N, Fernández A, Rodríguez A. Cardiomiopatía de Tako-Tsubo. IATREIA. 2015;28(2):202-6.

6. Singh K, Carson K, Shah R, Sawhney G, Singh B, Parsaik A, et al. Meta-analysis of clinical correlates of acute mortality in Tako-Tsubo cardiomyopathy. Am J Cardiol. 2014;113(8):1420-8.

7. Núñez I, Molinab M, Bernardoa E, Ibáñez B, Ruiz-Mateosa B, García JC, et al. Síndrome de Tako-Tsubo e insuficiencia cardiaca: seguimiento a largo plazo. Rev Esp Cardiol. 2012;65(11):996-1002.