Revista Colombiana de Cardiología
Print version ISSN 0120-5633
GARCIA, Edinson et al. Stress cardiomyopathy (Takotsubo): case presentation and literature review. Rev. Col. Cardiol. [online]. 2006, vol.13, n.1, pp. 31-38. ISSN 0120-5633.
Stress cardiomyopathy -Takotsubo cardiomyopathy- is a syndrome of intense myocardial stunning, resulting from acute stress situations accompanied by high catecholamine release. It is also known as Takotsubo cardiomyopathy or as transient apical left ventricular ballooning. Left ventricular systolic dysfunction is severe, reversible and has a good prognosis. Coronary arteriography doesn’t show significant coronary lesions and the serum enzymes elevation is minor. It affects predominantly old women and is very rare in men. A case of an old patient with this type of cardiomyopathy is presented and a review of literature is made, emphasizing its clinical manifestations, electrocardiographic findings, cardiac serum enzymes, characteristic contractility alterations, physiopathology, prognosis and treatment.
Keywords : cardiomyopathy; stress; Takotsubo; apical ballooning; myocardial stunning.