Takotsubo cardiomyopathy: A case-report
A 58 year-old-woman with no medical history presented to the emergency department complaining of chest pain and dyspnea. An ECG was performed, which showed ST-segment elevation in precordial leads from V1 to V5; elevated values of troponin I serum levels were found. Cardiac catheterization did not s...
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| Format: | Article |
| Language: | English |
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Permanyer
2018-04-01
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| Series: | Revista Médica del Hospital General de México |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0185106316300191 |
| _version_ | 1818921386457956352 |
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| author | V.H. Contreras Gutiérrez |
| author_facet | V.H. Contreras Gutiérrez |
| author_sort | V.H. Contreras Gutiérrez |
| collection | DOAJ |
| description | A 58 year-old-woman with no medical history presented to the emergency department complaining of chest pain and dyspnea. An ECG was performed, which showed ST-segment elevation in precordial leads from V1 to V5; elevated values of troponin I serum levels were found. Cardiac catheterization did not show obstructive coronary lesions, however hypokinesis of the apex and left ventricular segments were observed, with sparing of the basal segments. Afterwards a stressor precipitant was identified. The patient was diagnosed of takotsubo cardiomyopathy. Takotsubo cardiomyopathy probably accounts for 1–2% of all cases of suspected acute myocardial infarction, its true prevalence is unknown because of under diagnosis. The pathophysiological aspects of the disease are still a matter of debate and a standard treatment consensus is lacking. Resumen: Una mujer de 58 años de edad, sin antecedentes médicos se presentó en la sala de urgencias quejándose de dolor torácico y disnea. Se realizó un electrocardiograma, el cual mostró elevación del segmento ST en las derivaciones precordiales de V1 a V5; los niveles séricos de troponina se encontraron elevados. El cateterismo cardiaco no mostro lesiones coronarias obstructiva, sin embargo se observó hipocinesia del ápex y los segmentos medio-ventriculares, sin afectación de los segmentos basales. Posteriormente un factor de estrés fue identificado. La paciente fue diagnosticada de cardiomiopatía de takotsubo. La cardiomiopatía de takotsubo representa aproximadamente del 1 al 2% de todos los casos de infarto agudo al miocardio, su verdadera prevalencia se desconoce a causa de un infra diagnóstico. Los aspectos fisiopatológicos de la enfermedad son aun sujetos de discusión y se carece de un consenso para tratamiento estándar. Keywords: Chest pain, ST-segment elevation, Elevated troponin, Stressor factor, Hypokinesis, Takotsubo cardiomyopathy, Palabras clave: Dolor torácico, Elevación del segmento ST, Troponina elevada, Factor de estrés, Hipocinesia, Cardiomiopatía de takotsubo |
| first_indexed | 2024-12-20T01:36:49Z |
| format | Article |
| id | doaj.art-fa010e473fbd4241b02addbada2a96c5 |
| institution | Directory Open Access Journal |
| issn | 0185-1063 |
| language | English |
| last_indexed | 2024-12-20T01:36:49Z |
| publishDate | 2018-04-01 |
| publisher | Permanyer |
| record_format | Article |
| series | Revista Médica del Hospital General de México |
| spelling | doaj.art-fa010e473fbd4241b02addbada2a96c52022-12-21T19:57:59ZengPermanyerRevista Médica del Hospital General de México0185-10632018-04-01814146Takotsubo cardiomyopathy: A case-reportV.H. Contreras Gutiérrez0Corresponding author at: Dr Balmis 102, Colonia doctores, delegación Cuahutémoc, Mexico city CP 06720, Mexico.; Medical Resident at the General Hospital of Mexico, MexicoA 58 year-old-woman with no medical history presented to the emergency department complaining of chest pain and dyspnea. An ECG was performed, which showed ST-segment elevation in precordial leads from V1 to V5; elevated values of troponin I serum levels were found. Cardiac catheterization did not show obstructive coronary lesions, however hypokinesis of the apex and left ventricular segments were observed, with sparing of the basal segments. Afterwards a stressor precipitant was identified. The patient was diagnosed of takotsubo cardiomyopathy. Takotsubo cardiomyopathy probably accounts for 1–2% of all cases of suspected acute myocardial infarction, its true prevalence is unknown because of under diagnosis. The pathophysiological aspects of the disease are still a matter of debate and a standard treatment consensus is lacking. Resumen: Una mujer de 58 años de edad, sin antecedentes médicos se presentó en la sala de urgencias quejándose de dolor torácico y disnea. Se realizó un electrocardiograma, el cual mostró elevación del segmento ST en las derivaciones precordiales de V1 a V5; los niveles séricos de troponina se encontraron elevados. El cateterismo cardiaco no mostro lesiones coronarias obstructiva, sin embargo se observó hipocinesia del ápex y los segmentos medio-ventriculares, sin afectación de los segmentos basales. Posteriormente un factor de estrés fue identificado. La paciente fue diagnosticada de cardiomiopatía de takotsubo. La cardiomiopatía de takotsubo representa aproximadamente del 1 al 2% de todos los casos de infarto agudo al miocardio, su verdadera prevalencia se desconoce a causa de un infra diagnóstico. Los aspectos fisiopatológicos de la enfermedad son aun sujetos de discusión y se carece de un consenso para tratamiento estándar. Keywords: Chest pain, ST-segment elevation, Elevated troponin, Stressor factor, Hypokinesis, Takotsubo cardiomyopathy, Palabras clave: Dolor torácico, Elevación del segmento ST, Troponina elevada, Factor de estrés, Hipocinesia, Cardiomiopatía de takotsubohttp://www.sciencedirect.com/science/article/pii/S0185106316300191 |
| spellingShingle | V.H. Contreras Gutiérrez Takotsubo cardiomyopathy: A case-report Revista Médica del Hospital General de México |
| title | Takotsubo cardiomyopathy: A case-report |
| title_full | Takotsubo cardiomyopathy: A case-report |
| title_fullStr | Takotsubo cardiomyopathy: A case-report |
| title_full_unstemmed | Takotsubo cardiomyopathy: A case-report |
| title_short | Takotsubo cardiomyopathy: A case-report |
| title_sort | takotsubo cardiomyopathy a case report |
| url | http://www.sciencedirect.com/science/article/pii/S0185106316300191 |
| work_keys_str_mv | AT vhcontrerasgutierrez takotsubocardiomyopathyacasereport |