Corazón roto. ¿cuál es la causa?

Abstract

Tako-Tsubo syndrome, also known as transient apical ballooning syndrome, is an acute and reversible cardiomyopathy. It presents the same symptoms as an acute myocardial infarction, including the elevation of myocardial enzymes and ischemic electrocardiographic changes. However,no significant blockages will be found in the coronary angiography and there is a typical antero-apical dyskinesia of the left heart ventricle that improves in a few days. This entity is rare, affecting approximately 1% of all patients with suspected acute coronary syndrome. Nevertheless, it is essential to consider it in the presence of a cardiomyopathy, since its diagnosis will change the treatment and the prognosis for the patient. The typical case is a postmenopausal woman, with few cardiovascular risk factors, who has suffered from a physical or emotional stress. We present here a case report of a 75 years old female patient who had a typical clinical presentation of the disease, fulfilling the diagnostic criteria for the Tako-Tsubo syndrome.