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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Autores principales: Rau,Carlos M, Kauffmann,Max, Rau,Carlos L, Cereceda,Mauricio, Castro,Gabriel, Massardo,Teresa
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2011
Materias:
low
Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000300010
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spelling 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
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AT castrogabriel sindromedetakotsubocasoclinico
AT massardoteresa sindromedetakotsubocasoclinico
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