Transient antero-apical dyskinesia or tako-tsubo syndrome. A case report

Authors

  • Francisco de J. Valladares CArvajal Hospital General Universitario “Dr. Gustavo Aldereguía Lima”
  • Rosendo S. Ibargollín Hernández Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Luis F. Vega Fleites Hospital Provincial Universitario Cardiocentro Ernesto Guevara
  • Dayán A. García Cuesta Hospital General Universitario “Dr. Gustavo Aldereguía Lima”
  • Claudio R. Pérez Alfonso Hospital General Universitario “Dr. Gustavo Aldereguía Lima”
  • Yanier Coll Muñoz Hospital General Universitario “Dr. Gustavo Aldereguía Lima”

Keywords:

tako-tsubo syndrome, acute coronary syndrome, myocardial infarction

Abstract

Transient apical ballooning, Tako-tsubo syndrome (and other synonyms), is a clinical condition first described in Japan, and then in other countries, that mimics acute myocardial infarction. Disorders of left ventricular contractility recover within a few weeks. The fatality rate is very low compared with infarction, but it should be known by professionals that see patients with acute coronary syndrome in the emergency department. A patient who was discharged from our department with this diagnosis is presented, and electrocardiographic, echocardiographic and angiographic images are shown.

 

Downloads

Download data is not yet available.

References

1. Sato H, Tateishi H, Uchida T, Dote K, Ishihara M. Takotsubo type cardiomyopathy due to multivessel spasm. In: Kodama K, Haze K, Hon M, editors. Clinical aspect of myocardial injury: from ischemia to heart failure. Tokyo: Kagakuhyouronsya Co; 1990. p. 56-64.

2. Tsuchihashi K, Ueshima K, Uchida T, Oh-mura N, Kimura K, Owa M, et al. Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction. J Am Coll Cardiol. 2001;38(1):11-8.

3. Kuriso S, Sato H, Kawagoe T, Ishihara M, Shimatani Y, Nishioka K, et al. Tako-tsubo-like left ventricular dysfunction with ST-segment elevation: a novel cardiac syndrome mimicking acute myocardial infarction. Am Heart J. 2002;143(3):448-55.

4. Gaspar J, Gómez Cruz RA. Tako-tsubo syndrome (transient antero-apical dyskinesia): first case reported in Latin America and review of the literature. Arch Cardiol Mex. 2004;74(3):205-14.

5. Pueo Crespo EM, Diarte de Miguel JE, Chopo Alcubilla JM, Placer Peralta LJ. Síndrome de discinesia apical transitoria. A propósito de un caso. Rev Fed Arg Cardiol 2003; 32:415-8.

6. Garraza S, Crespo C. Síndrome de Tako-tsubo. Una nueva enfermedad que imita el infarto agudo de miocardio. Revista del CONAREC. 2005;21(78):46-9.

7. Finn B, Young P, Bruetman J. Takotsubo, discinesia apical transitoria: presentación de 4 casos y revisión de la literatura. MEDICINA. 2005;65(5):415-8.

8. González Rodríguez CI, Jiménez Bermejo FJ, Rubio Vela T, González Toda V. Disfunción ventricular transitoria o síndrome de Tako-tsubo. A propósito de un caso. Emergencias. 2006;18:247-9.

9. Barreiro D, Zócalo Y. Disfunción apical transitoria ¿miocardiopatía de takotsubo? Rev Urug Cardiol. 2007;22(3):252-6.

10. Owa M, Aizawa K, Urasawa N, Ichinose H, Yamamoto K, Karasawa K, et al. Emotional stress induced “Ampulla Cardiomyopathy”. Discrepance between the metabolic and sympathetic innervations imaging performed during the recovery course. Jpn Circ J. 2001;65(4):349-52.

11. Akashi YJ, Tejima T, Sakurada H, Matsuda H, Suzuki K, Kawasaki K, et al. Left ventricular rupture associated with takotsubo cardiomyopathy. Mayo Clin Proc. 2002;79(6):821-2.

12. Bybee KA, Kara T, Prasad A, Lerman A, Barsness GW, Wright RS, et al. Systematic review: transient left ventricular ballooning: a syndrome that mimics ST-elevation myocardial infarction. Ann Intern Med. 2002;141(11):858-65.

Published

2011-07-13

How to Cite

1.
Valladares CArvajal F de J, Ibargollín Hernández RS, Vega Fleites LF, García Cuesta DA, Pérez Alfonso CR, Coll Muñoz Y. Transient antero-apical dyskinesia or tako-tsubo syndrome. A case report. CorSalud [Internet]. 2011 Jul. 13 [cited 2025 Sep. 11];3(3):183-7. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/1184

Issue

Section

CASE REPORTS

Categories