Takotsubo Syndrome in a Premenopausal Patient

Menezes, M; Marto, D; Marcão, I; Salvado, C

http://hdl.handle.net/10400.17/4427

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Abstract(s)

Takotsubo syndrome is a rare clinical condition, with a pathophysiology that is not fully understood. Characterised by an acute and usually reversible heart failure, the condition is often preceded by a stressful event. For the diagnosis of Takotsubo syndrome to be possible, the absence of coronary artery disease as a cause is required. We report a case of Takotsubo syndrome in a 47-year-old woman of fertile age. Electrical and echocardiographic presentations were classical in the patient. However, abnormally elevated cardiac biomarkers were registered. The patient showed signs of clinical improvement, with a follow-up angiography excluding coronary artery disease and therefore leading to a diagnosis of Takotsubo syndrome.

Keywords

HCC NEF CHLC MED Acute Disease Biomarkers / blood Coronary Angiography Diagnosis, Differential Electrocardiography* Humans Female Middle Aged Heart Ventricles / diagnostic imaging Natriuretic Peptide, Brain / blood Premenopause Respiration, Artificial Takotsubo Cardiomyopathy / diagnostic imaging* Takotsubo Cardiomyopathy / physiopathology Troponin I / blood