Abstract

TAKOTSUBO CARDIOMYOPATHY: A CASE-REPORT

Asha Lincon* and Shaiju S. Dharan

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Abstract

A 55 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.

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