Clinical experience of TAKOTSUBO cardiomyopathy´s case

Authors

DOI:

https://doi.org/10.56294/saludcyt20241121

Keywords:

Cardiomyopathy, Takotsubo, Coronary Syndrome

Abstract

At a cardiological level there are several similar pathologies, and among them those that have a high percentage of similarity in terms of clinical features are Takotsubo cardiomyopathy and Acute Myocardial Infarction. Presentation with dyspnea, chest pain and a history of a stressful situation, as well as electrocardiographic signs such as ST segment elevation, allow us to suspect both pathologies. Coronary angiography with coronary arteries without obstruction and the echocardiographic image where alterations in the contractility of the left ventricle and the shape of an octopus fishing trap are observed are the main bases for the definitive diagnosis of broken heart syndrome, as in the present case. The clinical part manifests itself as an acute coronary syndrome with ST elevation, but when performing the invasive approach, no occlusion is found in the coronary arteries, which is why it is classified as Takotsubo cardiomyopathy. Regarding treatment, follow-up, continuous monitoring and elimination of the triggering factor are essential to shorten recovery time and reduce the recurrence rate

References

1. Enfermedad o Síndrome de Tacko Tsubo - OPS/OMS | Organización Panamericana de la Salud [Internet]. [citado 1 de mayo de 2024]. Disponible en: https://www.paho.org/es/relacsis/foro-dr-roberto-becker/enfermedad-sindrome-tacko-tsubo

2. Akashi YJ, Nef HM, Lyon AR. Epidemiology and pathophysiology of Takotsubo syndrome. Nat Rev Cardiol. julio de 2015;12(7):387-97.

3. Pathophysiology of Takotsubo Syndrome: JACC State-of-the-Art Review - PubMed [Internet]. [citado 1 de mayo de 2024]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33602474/

4. Miocardiopatía de takotsubo y la arteria coronaria única: una combinación excepcional | Revista Colombiana de Cardiología [Internet]. [citado 1 de mayo de 2024]. Disponible en: https://www.elsevier.es/es-revista-revista-colombiana-cardiologia-203-articulo-miocardiopatia-takotsubo-arteria-coronaria-unica-S0120563315002193

5. Dote K, Sato H, Tateishi H, Uchida T, Ishihara M. [Myocardial stunning due to simultaneous multivessel coronary spasms: a review of 5 cases]. J Cardiol. 1991;21(2):203-14.

6. Padilla H, Paltoo B, Edsall R, Hettling N. Diagnóstico y tratamiento de la miocardiopatía de takotsubo. Nursing (Lond). 1 de mayo de 2015;32(3):24-8.

7. Espinoza-Alva D, Pampa-Quenta DO, Rodríguez-Olivares RR, Gabino-Gonzáles G. Características clínicas y complicaciones del síndrome de Takotsubo en un centro de referencia de la seguridad social peruana. Rev Peru Med Exp Salud Publica. junio de 2019;36(2):255-9.

8. Pérez AS, Hernández AV. Miocardiopatía de Takotsubo. Claves para su diagnóstico. Gac Médica Espirituana. 10 de abril de 2012;13(1):9.

9. FEC. Fundación Española del Corazón. [citado 2 de mayo de 2024]. Síndrome de Tako-Tsubo. Disponible en: https://fundaciondelcorazon.com/informacion-para-pacientes/enfermedades-cardiovasculares/sindrome-de-tako-tsubo.html

10. Vélez-Leal JL, Caballero-Arenas RA. Arritmias graves en el síndrome de takotsubo: ¿cuándo dar de alta? Rev Colomb Cardiol. 1 de julio de 2020;27(4):307-13.

11. Tristán SL. Abordaje del paciente con miocardiopatía de Takotsubo. Rev Medica Sinerg. 1 de enero de 2023;8(1): e936-e936.

Downloads

Published

2024-06-30

How to Cite

1.
Apolo Loayza KY, Vásconez Cherrez MG. Clinical experience of TAKOTSUBO cardiomyopathy´s case. Salud, Ciencia y Tecnología [Internet]. 2024 Jun. 30 [cited 2024 Oct. 14];4:1121. Available from: https://sct.ageditor.ar/index.php/sct/article/view/524