Author(s):
Menezes, M ; Marto, D ; Marcão, I ; Salvado, C
Date: 2018
Persistent ID: http://hdl.handle.net/10400.17/4427
Origin: Repositório do Centro Hospitalar de Lisboa Central, EPE
Subject(s): HCC NEF; CHLC MED; Acute Disease; Biomarkers / blood; Coronary Angiography; Diagnosis, Differential; Electrocardiography*; Humans; Female; Middle Aged; Heart Ventricles / diagnostic imaging; Natriuretic Peptide, Brain / blood; Premenopause; Respiration, Artificial; Takotsubo Cardiomyopathy / diagnostic imaging*; Takotsubo Cardiomyopathy / physiopathology; Troponin I / blood
Description
Takotsubo syndrome is a rare clinical condition, with a pathophysiology that is not fully understood. Characterised by an acute and usually reversible heart failure, the condition is often preceded by a stressful event. For the diagnosis of Takotsubo syndrome to be possible, the absence of coronary artery disease as a cause is required. We report a case of Takotsubo syndrome in a 47-year-old woman of fertile age. Electrical and echocardiographic presentations were classical in the patient. However, abnormally elevated cardiac biomarkers were registered. The patient showed signs of clinical improvement, with a follow-up angiography excluding coronary artery disease and therefore leading to a diagnosis of Takotsubo syndrome.
