Servicio de Cardiología, Hospital de Especialidades No. 2, IMSS.
Departamento de Ciencias de la Salud, Universidad de Sonora. Ciudad Obregón, Son., México.
Arch Cardiol Mex. 2023;93(2):203-211. doi: 10.24875/ACM.21000407.
takotsubo syndrome (TTS) is a recently recognized entity that resembles an acute coronary syndrome. Its epidemiology has been studied in various populations around the world. The most frequent trigger is an emotional stressful event.
To describe the clinical characteristics of a series of cases with TTS.
A descriptive and retrospective study was carried out. The variables of age, gender, clinical characteristics, cardiovascular risk factors, triggering factors, biomarkers, electrocardiographic, echocardiographic, and angiographic findings in the clinical records of a group of cases of patients with TTS were evaluated.
19 cases of TTS were included. There were 16 women and 3 men, the average age was 62 ± 14 years; the main cardiovascular risk factor was sedentary lifestyle in 13 cases. The emotional trigger was present in most cases. The most frequent symptom was chest pain, eight cases presented data of shoCKP and heart failure. The most common variant by echocardiography was apical ballooning in 79%, as well as by ventriculography. The most common complication was cardiogenic shoCKP.
The clinical characteristics of our population are like those previously described in the literature. TTS is a transient and reversible cardiomyopathy with a good prognosis.
应激性心肌病（TTS）是一种新近被认识到的疾病实体，类似于急性冠状动脉综合征。其流行病学已在世界各地的不同人群中进行了研究。最常见的诱因是情绪应激事件。
描述一系列 TTS 病例的临床特征。
进行了一项描述性和回顾性研究。评估了一组 TTS 患者的临床记录中的年龄、性别、临床特征、心血管危险因素、触发因素、生物标志物、心电图、超声心动图和血管造影发现等变量。
共纳入 19 例 TTS 患者，其中 16 例为女性，3 例为男性，平均年龄为 62 ± 14 岁；主要心血管危险因素为 13 例患者的久坐生活方式。情绪诱因在大多数情况下存在。最常见的症状是胸痛，8 例出现 shoCKP 和心力衰竭的数据。超声心动图最常见的表现为心尖球囊样变，占 79%，心室造影也如此。最常见的并发症是心源性 shoCKP。
我们人群的临床特征与文献中先前描述的相似。TTS 是一种短暂且可逆转的心肌病，预后良好。
