Tako-tsubo-like syndrome with atypical clinical presentation: case report and literature review

Angiology. 2009 Aug-Sep;60(4):513-7. doi: 10.1177/0003319708315307. Epub 2008 Apr 2.

Abstract

A 78-year-old woman presented herself at emergency for the appearance of severe dyspnea. An electrocardiogram showed signs of inferior and anterior necrosis, and laboratory tests showed a small increase of myocardial cytonecrosis enzymes. An echocardiogram detected a reduction of global systolic function (ejection fraction [EF] approximately 40%) as well as akinesia of the apex, interventricular septum middle segments, and anterior and anterolateral walls, with basal segments showing compensatory hyperkinesia. The coronarography showed a coronary tree substantially free from significant lesions. The patient was transferred to the cardiology unit of our hospital. Based on the contained increase of the cardiac enzymes, the absence of coronary lesions, and the presence of typical echocardiography alterations, we suspected a Tako-tsubo-like syndrome. On deeper anamnestic investigation, an event of strong emotional stress emerged preceding the hospital admission that confirmed the pathology, even though it is atypical to see clinical presentation a long time after a stressful event.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Biomarkers / blood
  • Coronary Angiography
  • Dyspnea / etiology
  • Echocardiography
  • Electrocardiography
  • Enzymes / blood
  • Female
  • Humans
  • Myocardium / enzymology
  • Myocardium / pathology
  • Necrosis
  • Stress, Psychological / complications*
  • Stroke Volume
  • Takotsubo Cardiomyopathy / complications
  • Takotsubo Cardiomyopathy / diagnosis*
  • Takotsubo Cardiomyopathy / physiopathology
  • Takotsubo Cardiomyopathy / psychology
  • Time Factors
  • Ventricular Function, Left

Substances

  • Biomarkers
  • Enzymes