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


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.

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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.

Conflicts of Interest

The authors declare no conflicts of interest.


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