<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7523</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Rev cubana med]]></abbrev-journal-title>
<issn>0034-7523</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75232021000500006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[El síndrome de Takotsubo con taponamiento cardíaco como complicación inusual]]></article-title>
<article-title xml:lang="en"><![CDATA[Takotsubo syndrome with cardiac tamponade as an unusual complication]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz Rossi]]></surname>
<given-names><![CDATA[Felipe Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Buell Acosta]]></surname>
<given-names><![CDATA[Julieth Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Puentes]]></surname>
<given-names><![CDATA[Christian Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[ Bogotá]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>60</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75232021000500006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75232021000500006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75232021000500006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La miocardiopatía por estrés o síndrome de Takotsubo está asociado a la reducción de la fracción de eyección, niveles elevados de enzimas cardiacas y signos de isquemia en el electrocardiograma. Sin embargo, en pocas ocasiones trascurre con complicaciones tan importantes como el taponamiento cardiaco, deterioro significativo de la contractilidad y la posibilidad de trombos dentro de la cavidad ventricular. Estas son subestimadas a pesar de poner en riesgo la vida del paciente.  Objetivo:  Describir el caso de una paciente con miocardiopatía por estrés con taponamiento cardiaco como una complicación inusual.  Caso clínico:  Paciente en la novena década de la vida con antecedente de hipertensión arterial sistémica primaria y enfermedad pulmonar obstructiva crónica. Presentó dolor precordial con trastornos de la contractilidad de patrón usual correspondiente a la cardiomiopatía de Takotsubo en la que se descartaron otros diagnósticos diferenciales.  Conclusiones:  El caso presentado de miocardiopatía de Takotsubo asociado a una complicación cardiovascular tan importante e inusual como el taponamiento cardiaco, aporta información sobre esta enfermedad infrecuente en nuestro medio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Stress cardiomyopathy or Takotsubo syndrome is associated with reduced ejection fraction, elevated levels of cardiac enzymes and signs of ischemia on the electrocardiogram. However, it rarely occurs with complications as important as cardiac tamponade, significant deterioration of contractility and the possibility of thrombi within the ventricular cavity. These are underestimated despite putting the patient's life at risk.  Objective:  To describe the case of a patient with stress cardiomyopathy with cardiac tamponade as an unusual complication.  Clinical case report:  A case of a female patient in her nineties is reported due to her history of primary systemic arterial hypertension and chronic obstructive pulmonary disease. She had chest pain with contractility disorders of the usual pattern corresponding to Takotsubo cardiomyopathy in which other differential diagnoses were ruled out.  Conclusions:  This case of Takotsubo cardiomyopathy associated with a cardiovascular complication as important and unusual as cardiac tamponade, provides information on this rare disease in our setting.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cardiomiopatía de Takotsubo]]></kwd>
<kwd lng="es"><![CDATA[taponamiento cardíaco]]></kwd>
<kwd lng="es"><![CDATA[síndrome coronario agudo]]></kwd>
<kwd lng="en"><![CDATA[Takotsubo cardiomyopathy]]></kwd>
<kwd lng="en"><![CDATA[cardiac tamponade]]></kwd>
<kwd lng="en"><![CDATA[acute coronary syndrome]]></kwd>
</kwd-group>
</article-meta>
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