Takotsubo syndrome(TTS)is a rare clinical entity commonly seen in post-menopausal women after an emotional or sometimes physical stress.[1,2]This syndrome is thought to be caused by increased circulation catecholamine...Takotsubo syndrome(TTS)is a rare clinical entity commonly seen in post-menopausal women after an emotional or sometimes physical stress.[1,2]This syndrome is thought to be caused by increased circulation catecholamine levels secondary to an adrenergic stimulus resulting in transient coronary spasm and microvascular dysfunction.[3]TTS is characterized by acute and reversible left ventricular dysfunction with the typical ECG and clinical findings of an acute coronary syndrome but no significant coronary stenosis.[4]Typically,in TTS,antero-apical ballooning is observed in ventriculography,and segmentary wall motion abnormalities are observed in magnetic resonance imaging and echocardiography.Acute heart failure,left ventricular outflow tract obstruction,mitral regurgitation and cardiogenic shock may complicate this syndrome.[5]Herein,we present a case who is the oldest one in the literature with TTS and cardiogenic shock.展开更多
文摘Takotsubo syndrome(TTS)is a rare clinical entity commonly seen in post-menopausal women after an emotional or sometimes physical stress.[1,2]This syndrome is thought to be caused by increased circulation catecholamine levels secondary to an adrenergic stimulus resulting in transient coronary spasm and microvascular dysfunction.[3]TTS is characterized by acute and reversible left ventricular dysfunction with the typical ECG and clinical findings of an acute coronary syndrome but no significant coronary stenosis.[4]Typically,in TTS,antero-apical ballooning is observed in ventriculography,and segmentary wall motion abnormalities are observed in magnetic resonance imaging and echocardiography.Acute heart failure,left ventricular outflow tract obstruction,mitral regurgitation and cardiogenic shock may complicate this syndrome.[5]Herein,we present a case who is the oldest one in the literature with TTS and cardiogenic shock.
