Takotsubo syndrome secondary to adaptative emotional disorder

Abstract

Introduction: Takotsubo syndrome or stress cardiomyopathy is characterized by a transient regional systolic dysfunction, mainly of the left ventricle that simulates an acute myocardial infarction, but in the absence of angiographic evidence of obstructive coronary artery disease or acute plaque rupture. It is the cause of 1-2 % of all acute coronary syndromes, which requires a timely diagnosis and an adequate treatment to avoid morbidity and mortality from this pathology. Objective: to highlight the importance of taking into account takotsubo syndrome or stress cardiomyopathy as a differential diagnosis in patients with chest pain according to the clinical history and pain triggers. Case presentation: Fifty-year-old patient with typical chest pain after an emotional episode; the initial electrocardiogram reported anterolateral ischemia with positive troponin and systolic heart failure, and the angiography showed no alteration in the coronary vessels, concluding with the diagnosis of Takotsubo syndrome. Conclusion: It is important to consider takotsubo syndrome in the differential diagnosis of patients with chest pain, evaluating the circumstances by which the pain originates since it requires multidisciplinary medical management.

Keywords

• takotsubo, troponina, angiografía, electrocardiograma.