Resumo

RAVELO DOPICO, Roger; MARTINEZ GARCIA, Geovedy  e  YUNEZ SAAB, Pedro. Tako-Tsubo Syndrome as Myocardial Infarction Differential Diagnosis. Rev Cub Med Mil [online]. 2016, vol.45, n.3, pp. 378-384. ISSN 1561-3046.

Broken heart syndrome, or worldwide better known as Tako-Tsubo syndrome, is easily confused with an acute coronary event in postmenopausal women because of its clinical presentation. The patient presents symptoms similar to an acute myocardial infarction: anginal chest pain, ST segment and T wave changes in precordial leads and elevation of biomarkers of myocardial damage. The hallmark of this clinical rarity is systolic dysfunction of the left ventricle with transient dyskinesia of the mid apical segments in the absence of significant coronary disease. Fortunately, these patients have a good prognosis and full recovery occurs in a few days or weeks. We describe the clinical case of a postmenopausal woman who was attended by an acute myocardial infarction of the anterior face; no significant coronary lesions were found, and ventriculography showed left ventricular midapical ballooning which is characteristic of this entity. On follow-up the patient had complete recovery of the systolic function.

Palavras-chave : Tako-Tsubo syndrome; acute coronary event; apical ballooning.

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