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Takotsubo Cardiomyopathy: Case Report and Literature Review


Authors: T. Paleček;  A. Linhart;  P. Jansa;  Lubanda J.-C.;  prof. MUDr. Jan Bělohlávek, Ph.D.;  J. Humhal;  Z. Susa;  M. Aschermann
Authors‘ workplace: II. interní klinika kardiologie a angiologie 1. LF UK a VFN, Praha
Published in: Čas. Lék. čes. 2005; 144: 405-408
Category: Case Report

Overview

The authors present an interesting case report of 69-year-old caucasian woman with Takotsubo cardiomyopathy. Takotsubo cardiomyopathy is a relatively recently described heart syndrome that probably develops due to the direct toxic effect of excessively released catecholamines on cardiac adrenoceptors during emotional or physical stress. The typical features include reversible left ventricular apical dyskinesis, chest pain with ST-T changes on ECG, minimal myocardial enzymatic release and the absence of coronary stenosis on coronary angiogram. Early coronary angiographic examination is highly recommended as the clinical picture of this syndrome mimics acute myocardial infarction. Betablockers are considered to be the treatment of choice. 

Key words:
cardiomyopathy, apical left ventricular ballooning, echocardiography.


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