SciELO - Scientific Electronic Library Online

vol.45 issue3Elastography Usefulness in Breast Cancer In Relation To Two CasesNeurorehabilitation treatment in a patient with hereditary cerebral arteriopathy author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Revista Cubana de Medicina Militar

Print version ISSN 0138-6557On-line version ISSN 1561-3046


RAVELO DOPICO, Roger; MARTINEZ GARCIA, Geovedy  and  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 0138-6557.

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.

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

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License