Síndrome de Tako-Tsubo: caso clínico
Tako-Tsubo syndrome resembles an acute myocardial infarction in symptoms, laboratory parameters and electrocardiographic changes. However, angiography does not show evidence of coronary occlusion, and typically an apical ballooning ofthe ventricle in systole is observed. We report a 78-year-old woma...
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Sociedad Médica de Santiago
2011
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oai:scielo:S0034-988720110003000102011-08-25Síndrome de Tako-Tsubo: caso clínicoRau,Carlos MKauffmann,MaxRau,Carlos LCereceda,MauricioCastro,GabrielMassardo,Teresa Acute coronary syndrome Cardiac output low Takotsubo cardiomyopathy Tako-Tsubo syndrome resembles an acute myocardial infarction in symptoms, laboratory parameters and electrocardiographic changes. However, angiography does not show evidence of coronary occlusion, and typically an apical ballooning ofthe ventricle in systole is observed. We report a 78-year-old woman with no coronary risks factors, admitted to the emergency room due to acute chestpain and an electrocardiogram compatible with an acute coronary syndrome with ST elevation. Serum troponin and creatin-kinase (MB fraction) were elevated. An emergency coronary angiography did not show a coronary occlusion. Due to the apical ballooning observed in the left ventriculography, aprobable diagnosis of Tako-Tsubo was proposed. The patient had a favorable evolution. A treadmill test, echocardiogram and myocardial perfusión SPECT, performed one month later, disclosed no abnormalities.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.3 20112011-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000300010es10.4067/S0034-98872011000300010 |
institution |
Scielo Chile |
collection |
Scielo Chile |
language |
Spanish / Castilian |
topic |
Acute coronary syndrome Cardiac output low Takotsubo cardiomyopathy |
spellingShingle |
Acute coronary syndrome Cardiac output low Takotsubo cardiomyopathy Rau,Carlos M Kauffmann,Max Rau,Carlos L Cereceda,Mauricio Castro,Gabriel Massardo,Teresa Síndrome de Tako-Tsubo: caso clínico |
description |
Tako-Tsubo syndrome resembles an acute myocardial infarction in symptoms, laboratory parameters and electrocardiographic changes. However, angiography does not show evidence of coronary occlusion, and typically an apical ballooning ofthe ventricle in systole is observed. We report a 78-year-old woman with no coronary risks factors, admitted to the emergency room due to acute chestpain and an electrocardiogram compatible with an acute coronary syndrome with ST elevation. Serum troponin and creatin-kinase (MB fraction) were elevated. An emergency coronary angiography did not show a coronary occlusion. Due to the apical ballooning observed in the left ventriculography, aprobable diagnosis of Tako-Tsubo was proposed. The patient had a favorable evolution. A treadmill test, echocardiogram and myocardial perfusión SPECT, performed one month later, disclosed no abnormalities. |
author |
Rau,Carlos M Kauffmann,Max Rau,Carlos L Cereceda,Mauricio Castro,Gabriel Massardo,Teresa |
author_facet |
Rau,Carlos M Kauffmann,Max Rau,Carlos L Cereceda,Mauricio Castro,Gabriel Massardo,Teresa |
author_sort |
Rau,Carlos M |
title |
Síndrome de Tako-Tsubo: caso clínico |
title_short |
Síndrome de Tako-Tsubo: caso clínico |
title_full |
Síndrome de Tako-Tsubo: caso clínico |
title_fullStr |
Síndrome de Tako-Tsubo: caso clínico |
title_full_unstemmed |
Síndrome de Tako-Tsubo: caso clínico |
title_sort |
síndrome de tako-tsubo: caso clínico |
publisher |
Sociedad Médica de Santiago |
publishDate |
2011 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000300010 |
work_keys_str_mv |
AT raucarlosm sindromedetakotsubocasoclinico AT kauffmannmax sindromedetakotsubocasoclinico AT raucarlosl sindromedetakotsubocasoclinico AT cerecedamauricio sindromedetakotsubocasoclinico AT castrogabriel sindromedetakotsubocasoclinico AT massardoteresa sindromedetakotsubocasoclinico |
_version_ |
1718436557171458048 |