Revista Clínica de Medicina de Familia
Print version ISSN 1699-695X
CORDOBA SORIANO, Juan Gabriel; MARTINEZ MARTINEZ, María Luisa; HIDALGO OLIVARES, Víctor Manuel and LLANOS GUERRERO, Cristina. Chest pain and ST elevation in anterior leads. Rev Clin Med Fam [online]. 2011, vol.4, n.3, pp.259-263. ISSN 1699-695X. http://dx.doi.org/10.4321/S1699-695X2011000300015.
We report a case of a 79 year old woman admitted to our Cardiology department for symptoms suggestive of acute coronary syndrome, eventually reaching an increasingly common diagnosis of a syndrome that was perhaps under-diagnosed in previous years. Takotsubo syndrome is a clinical entity predominantly occurring in postmenopausal women typically after severe physical or psychological stress. The symptoms mimic an acute coronary syndrome, however the absence of coronary angiographic lesions and an echocardiographic pattern of "apical ballooning" in the left ventricle because of hyperkinesis of the basal segments and apical dyskinesia are characteristic of this syndrome. These symptoms are usually fully resolved within a few weeks. We also present a brief review of the current state of its diagnosis and treatment.
Keywords : Myocardial Infarction; Takotsubo Cardiomyopathy; Chest Pain; Apical Ballooning Syndrome.