Tako-Tsubo Cardiomyopathy—The Role of Physical and Emotional Stressors: Two Case Report

• 作者: Jandira Helena Lima Jo?o Bernardo Cunha José Gon?alo Diniz Vieira José Manuel Nascimento Costa Patrícia Glória Dinis Dias Patrícia Margarida Serra Carvalho
• 来源期刊: 临床医学国际期刊(英文)
• 学科: 医学
• 关键词: Tako-Tsubo LEFT VENTRICLE POSTMENOPAUSAL Stress
• 年，卷（期）: 2012,（2）
• 页码范围: 145-150
• 页数: 6页
• 分类号: R5

摘要

Introduction: Tako-Tsubo cardiomyopathy describes a form of acute and reversible left ventricular dysfunction with a clinical presentation, ECG and cardiac biomarkers that makes it indistinguishable from acute coronary syndrome. Case Presentation: The authors present two cases of tako-tsubo cardiomyopathy in postmenopausal women, the first case following an emotional stressful event and a second case following a blood transfusion and probably associated with intravenous catecholamine perfusion. Both had unobstructed coronary arteries and regional wall-motion abnormalities typical of this syndrome. Conclusions: Tako-tsubo cardiomyopathy is a condition often misdiagnosed. A clinical presentation suggestive of acute coronary syndrome in a postmenopausal woman without history of coronary disease and in whom a precipitating stressful event can be found should lead the physician to suspect the diagnosis of tako-tsubo cardiomyopathy. This syndrome associated with blood transfusion has rarely been described.