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Case reports
Print version ISSN 2462-8522
Abstract
VELASCO-MALAGON, Sergio Alexander and MORA-PABON, Guillermo. RECURRENT TAKOTSUBO SYNDROME: CASE REPORT AND LITERATURE REVIEW. Case reports [online]. 2022, vol.8, n.2, pp.1-. Epub Dec 19, 2023. ISSN 2462-8522. https://doi.org/10.15446/cr.v8n2.92955.
Introduction:
Takotsubo syndrome is a cardiomyopathy that can lead to severe myocardial involvement. It is characterized by the presence of signs and symptoms suggestive of ventricular dysfunction associated with an adrenergic discharge during a stressful event. This case report presents a literature review, as well as a comparison with other similar cases.
Case presentation.
A 56-year-old female with a previous episode of Takotsubo was admitted to the emergency department due to symptoms of acute coronary syndrome and a history of Takotsubo syndrome. Her electrocardiogram showed T-wave inversion in leads V1-V4 and a raise in troponins. Percutaneous coronary angiography revealed no coronary lesions, and an echocardiogram revealed segmental alterations compatible with Takotsubo syndrome, requiring medical therapy with beta-blockers and angiotensin-converting enzyme (ACE) inhibitors, with subsequent improvement in ventricular function.
Conclusions.
Recurrence in Takotsubo cardiomyopathy is a rare complication that should be suspected. The risk factors associated with recurrence are not known. Although therapy with ACE inhibitors and beta-blockers seems to have an impact on the recovery of ventricular function in patients with this condition, further studies are necessary to establish the best pharmacological treatment.
Keywords : Takotsubo Cardiomyopathy; Broken heart Syndrome; Recurrence.