Takotsubo syndrome secondary to adaptative emotional disorder

Introduction: Takotsubo syndrome or stress cardiomyopathy is characterized by a transient regional systolic dysfunction, mainly of the left ventricle that simulates an acute myocardial infarction, but in the absence of angiographic evidence of obstructive coronary artery disease or acute plaque rupt...

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Main Authors: Jhonatan Andrés Portes Ortiz, Yuri Gorety Medina Rojas, Karen Yulieth Fieso Sepulveda
Format: Article
Language:English
Published: Universidad de Ciencias Médicas de La Habana 2022-12-01
Series:Revista Habanera de Ciencias Médicas
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Online Access:https://revhabanera.sld.cu/index.php/rhab/article/view/4643
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author Jhonatan Andrés Portes Ortiz
Yuri Gorety Medina Rojas
Karen Yulieth Fieso Sepulveda
author_facet Jhonatan Andrés Portes Ortiz
Yuri Gorety Medina Rojas
Karen Yulieth Fieso Sepulveda
author_sort Jhonatan Andrés Portes Ortiz
collection DOAJ
description Introduction: Takotsubo syndrome or stress cardiomyopathy is characterized by a transient regional systolic dysfunction, mainly of the left ventricle that simulates an acute myocardial infarction, but in the absence of angiographic evidence of obstructive coronary artery disease or acute plaque rupture. It is the cause of 1-2 % of all acute coronary syndromes, which requires a timely diagnosis and an adequate treatment to avoid morbidity and mortality from this pathology. Objective: to highlight the importance of taking into account takotsubo syndrome or stress cardiomyopathy as a differential diagnosis in patients with chest pain according to the clinical history and pain triggers. Case presentation: Fifty-year-old patient with typical chest pain after an emotional episode; the initial electrocardiogram reported anterolateral ischemia with positive troponin and systolic heart failure, and the angiography showed no alteration in the coronary vessels, concluding with the diagnosis of Takotsubo syndrome. Conclusion: It is important to consider takotsubo syndrome in the differential diagnosis of patients with chest pain, evaluating the circumstances by which the pain originates since it requires multidisciplinary medical management.
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publishDate 2022-12-01
publisher Universidad de Ciencias Médicas de La Habana
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spelling doaj-art-33f959efc7274f3c9e6e2ebc7b6c45c42025-08-20T02:03:15ZengUniversidad de Ciencias Médicas de La HabanaRevista Habanera de Ciencias Médicas1729-519X2022-12-01215e4643e46431981Takotsubo syndrome secondary to adaptative emotional disorderJhonatan Andrés Portes Ortiz0Yuri Gorety Medina Rojas1Karen Yulieth Fieso Sepulveda21Universidad Surcolombiana. Neiva.Universidad Surcolombiana. Neiva. Hospital Universitario “Hernando Moncaleano Perdomo”. Huila.Universidad Surcolombiana. Neiva. Hospital Universitario “Hernando Moncaleano Perdomo”. Huila.Introduction: Takotsubo syndrome or stress cardiomyopathy is characterized by a transient regional systolic dysfunction, mainly of the left ventricle that simulates an acute myocardial infarction, but in the absence of angiographic evidence of obstructive coronary artery disease or acute plaque rupture. It is the cause of 1-2 % of all acute coronary syndromes, which requires a timely diagnosis and an adequate treatment to avoid morbidity and mortality from this pathology. Objective: to highlight the importance of taking into account takotsubo syndrome or stress cardiomyopathy as a differential diagnosis in patients with chest pain according to the clinical history and pain triggers. Case presentation: Fifty-year-old patient with typical chest pain after an emotional episode; the initial electrocardiogram reported anterolateral ischemia with positive troponin and systolic heart failure, and the angiography showed no alteration in the coronary vessels, concluding with the diagnosis of Takotsubo syndrome. Conclusion: It is important to consider takotsubo syndrome in the differential diagnosis of patients with chest pain, evaluating the circumstances by which the pain originates since it requires multidisciplinary medical management.https://revhabanera.sld.cu/index.php/rhab/article/view/4643takotsubo, troponina, angiografía, electrocardiograma.
spellingShingle Jhonatan Andrés Portes Ortiz
Yuri Gorety Medina Rojas
Karen Yulieth Fieso Sepulveda
Takotsubo syndrome secondary to adaptative emotional disorder
Revista Habanera de Ciencias Médicas
takotsubo, troponina, angiografía, electrocardiograma.
title Takotsubo syndrome secondary to adaptative emotional disorder
title_full Takotsubo syndrome secondary to adaptative emotional disorder
title_fullStr Takotsubo syndrome secondary to adaptative emotional disorder
title_full_unstemmed Takotsubo syndrome secondary to adaptative emotional disorder
title_short Takotsubo syndrome secondary to adaptative emotional disorder
title_sort takotsubo syndrome secondary to adaptative emotional disorder
topic takotsubo, troponina, angiografía, electrocardiograma.
url https://revhabanera.sld.cu/index.php/rhab/article/view/4643
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AT karenyuliethfiesosepulveda takotsubosyndromesecondarytoadaptativeemotionaldisorder