Vol 68, No 1 (2010)
Published online: 2010-02-03
Tako-tsubo syndrome – a form of acute coronary syndrome or completely different clinical entity – a case report
Kardiol Pol 2010;68(1):66-71.
Tako-tsubo cardiomyopathy, also known as stress-induced cardiomyopathy, is a temporary left ventricular dysfunction characterised by acute retrosternal rest pain, ST – segment elevation, slight elevation of cardiac necrosis markers, preferential apical akinesia or hypokinesia with basal hypercontractility in echocardiography. Its clinical picure mimics an acute coronary syndrome. Coronary angiography reveals normal coronary arteries. The characteristic symptoms occur after emotional or physical strain. We report a case of woman admitted to the hospital who presented with symptoms of acute coronary syndrome with ST – segment elevation. Patient clinical presentation and tests results led to a diagnosis of tako-tsubo cardiomyopathy.