Myocardial infarction or broken heart syndrome?

Czech version

Authors: Vojtěch Brázdil; Martin Hudec; Martin Poloczek; Jan Kaňovský; Roman Štípal; Petr Jeřábek; Otakar Boček; Petr Kala
Authors‘ workplace: Interní kardiologická klinika LF MU a FN Brno, pracoviště Bohunice
Published in: Vnitř Lék 2020; 66(6): 378-380
Category: Case Report

Overview

Takotsubo or broken heart syndrome represents a rare type of cardiomyopathy, often imitating acute myocardial infarction. It is a sudden transient cardiac syndrome that typically involves left ventricular apical akinesis with preserved motility of basal heart segments. In contrast to acute myocardial infarction, the pathology is fully reversible in the majority of patients. In the present case‑report, we discuss 78‑years‑old female referred to our department for typical symptomatology of acute myocardial infarction. Coronary angiography revealed significant stenosis on the left anterior descending coronary artery, but ventriculography disclosed apical dysfunction and clinical course of the disease result in the diagnosis of Takotsubo cardiomyopathy. Until recently, normal or non‑obstructive coronary angiography represented one of the mean diagnostic features of Takotsubo cardiomyopathy. In 2018, new diagnostic criteria were introduced, importantly modifying our approach to the Takotsubo diagnostics with omitting a coronary lesion as an exclusion criterium of the Takotsubo cardiomyopathy.

Keywords:

acute myocardial infarction – InterTAK Diagnostic criteria – Takotsubo cardiomyopathy

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