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Tako-Tsubo Cardiomyopathy—The Role of Physical and Emotional Stressors: Two Case Report

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DOI: 10.4236/ijcm.2012.32029    4,214 Downloads   6,332 Views   Citations

ABSTRACT

Introduction: Tako-Tsubo cardiomyopathy describes a form of acute and reversible left ventricular dysfunction with a clinical presentation, ECG and cardiac biomarkers that makes it indistinguishable from acute coronary syndrome. Case Presentation: The authors present two cases of tako-tsubo cardiomyopathy in postmenopausal women, the first case following an emotional stressful event and a second case following a blood transfusion and probably associated with intravenous catecholamine perfusion. Both had unobstructed coronary arteries and regional wall-motion abnormalities typical of this syndrome. Conclusions: Tako-tsubo cardiomyopathy is a condition often misdiagnosed. A clinical presentation suggestive of acute coronary syndrome in a postmenopausal woman without history of coronary disease and in whom a precipitating stressful event can be found should lead the physician to suspect the diagnosis of tako-tsubo cardiomyopathy. This syndrome associated with blood transfusion has rarely been described.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

P. Margarida Serra Carvalho, J. Helena Lima, J. Bernardo Cunha, P. Glória Dinis Dias, J. Gonçalo Diniz Vieira and J. Manuel Nascimento Costa, "Tako-Tsubo Cardiomyopathy—The Role of Physical and Emotional Stressors: Two Case Report," International Journal of Clinical Medicine, Vol. 3 No. 2, 2012, pp. 145-150. doi: 10.4236/ijcm.2012.32029.

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