Case report Tako-tsubo syndrome without typical anamnesis

Abstract

A 77-year-old female in severe emotional distress was admitted to Coronary Care Unit with typical features of acute coronary syndrome, namely severe chest pain, high cardiac necrosis markers and ST-elevation in ECG. Due to the lack of significant changes in coronary arteries in coronary angiography the contractile function of the heart muscle was assesed in echocardiographic examination. That allowed to diagnose tako-tsubo cardiomiopathy. This condition is commonly triggered by stress. This case report puts emphasis on anamnesis, which is often underestimated when diagnosing tako-tsubo syndrome.