Sanchez-Amaya David Jacobo, Lopez-Lizarraga Miguel-Angel, Gutierrez Castañeda Mateo, Araiza-Garaygordobil Diego, Arias-Mendoza Alexandra
Cardiology, Instituto Nacional de Cardiología, Mexico City, MEX.
Coronary Care Unit, Instituto Nacional de Cardiología, Mexico City, MEX.
Cureus. 2023 Mar 26;15(3):e36700. doi: 10.7759/cureus.36700. eCollection 2023 Mar.
Takotsubo cardiomyopathy or stress-induced cardiomyopathy is a particular entity with a transient left ventricular dysfunction without significant coronary artery obstruction, preceded by a stressful circumstance. Clinical presentation may mimic myocardial infarction, acute heart failure among the most common conditions. If suspected, the integration of clinical aspects, imaging results, and laboratory tests allows its diagnosis and proper management. Once described as a post-menopausal women's disease, is now recognized as a more frequent condition of young women, especially after stressful conditions such as post-surgical status and peripartum period, rendering as a disease with a certain predisposition to female patients, with a not always benign evolution. This case remarks an atypical presentation experiencing a first nigh fatal evolution but a later satisfactory recuperation.
Takotsubo心肌病或应激性心肌病是一种特殊的病症,表现为短暂的左心室功能障碍,且无明显冠状动脉阻塞,发病前常有应激情况。临床表现可能类似于心肌梗死、急性心力衰竭等最常见的病症。如果怀疑患有该病,综合临床症状、影像学检查结果和实验室检查有助于诊断和恰当治疗。Takotsubo心肌病曾被认为是绝经后女性的疾病,现在则被认为在年轻女性中更为常见,尤其是在术后状态和围产期等应激情况之后,显示出该病对女性患者有一定的易感性,其病情发展并不总是良性的。本病例呈现出一种非典型表现,起初有近乎致命的病情发展,但后来恢复良好。