Tag Archives: Takotsubo syndrome

Introduction Takotsubo syndrome (TTS) and spontaneous coronary artery disease (SCAD) may present with similar clinical characteristics, such as chest pain, elevated cardiac biomarkers and comparable wall motion patterns on echocardiography. It is estimated that 7% of patients presenting with a provisional diagnosis of TTS have angiographic evidence of SCAD. Angiography and cardiac magnetic resonance imaging (MRI) are essential tools for the diagnosis of co-existent TTS and SCAD. Case report A 59-year-old woman, with a previous history of anxiety and smoking, was admitted for sudden retrosternal pain after an argument with a relative. Physical

Background Takotsubo syndrome (TTS) – also known as broken-heart syndrome, Takotsubo cardiomyopathy, and stress-induced cardiomyopathy – is a recently discovered acute cardiac disease first described in Japan in 1991.1 TTS has a clinical presentation with chest pain, ischaemic electrocardiographic (ECG) changes, and elevation of biomarkers, such as cardiac troponin and brain natriuretic peptide (BNP), triggered by significant emotional or physical stress, and accompanied by distinct patterns of transient left ventricular dysfunction.2,3 This contractile dysfunction classically adopts an apical ballooning shape of the left cardiac chamber