Takotsubo Cardiomyopathy: Cause of a Cardiogenic Shock

Authors

  • Maria do Carmo Fevereiro Unidade Funcional de Medicina 1.4. Hospital de São José. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • Maria Inês Simões Unidade Funcional de Medicina 1.4. Hospital de São José. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • Fátima Lampreia Unidade Funcional de Medicina 1.4. Hospital de São José. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • Isabel Marcão Unidade Funcional de Medicina 1.4. Hospital de São José. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • António Godinho Unidade Funcional de Medicina 1.4. Hospital de São José. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.
  • Vitor Lopes Unidade de Cuidados Intensivos Polivalente 1. Hospital de São José. Centro Hospitalar de Lisboa Central. Lisboa. Portugal.

DOI:

https://doi.org/10.20344/amp.6592

Keywords:

Shock, Cardiogenic, Takotsubo Cardiomyopathy.

Abstract

Takotsubo cardiomyopathy, of unknown etiology, is characterized by sudden and transient systolic dysfunction of the mid-apical segments of the left ventricle without significant coronary disease, and full normalization of segmental changes. More common in middle-aged women, it is cause of differential diagnosis with acute coronary syndrome. We present the case of a 59 year old woman admitted to the emergency room with sudden chest pain and dyspnea. At presentation: acute hypotensive pulmonary edema requiring aminergic support and invasive ventilation. Blood tests showed elevated necrosis myocardial enzymes. Serial electrocardiograms: sinus rhythm with progressive inversion of the T wave through the precordial leads (v2 - v6). Control echocardiograms: overall decreased
systolic function with apical akinesia, and full reversal of the changes in 2 weeks. Cardiogenic shock of unknown etiology was admitted and a coronary computed tomography angiography was performed excluding coronary heart disease, supporting the diagnosis of Takotsubo cardiomyopathy.

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Published

2015-09-11

How to Cite

1.
Fevereiro M do C, Simões MI, Lampreia F, Marcão I, Godinho A, Lopes V. Takotsubo Cardiomyopathy: Cause of a Cardiogenic Shock. Acta Med Port [Internet]. 2015 Sep. 11 [cited 2024 Nov. 13];28(5):670-3. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/6592

Issue

Vol. 28 No. 5 (2015): September-October

Section

Case Report

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