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Transient left ventricular dysfunction due to stress-induced cardiomyopathy.
Marcus Vinicius Simões1, José Antonio Marin-Neto, Minna Moreira Dias Romano
1Divisão de Cardiologia, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, USP, Ribeirão Preto, SP, Brasil. simoesmv@yahoo.com
Arquivos Brasileiros De Cardiologia
|November 10, 2007
Summary
A severe emotional stress event triggered stress-induced cardiomyopathy in a 71-year-old woman. Her condition mimicked heart attack but resolved within two weeks.
Area of Science:
- Cardiology
- Cardiovascular Medicine
Background:
- Stress-induced cardiomyopathy, also known as Takotsubo cardiomyopathy, is a form of non-ischemic heart muscle dysfunction.
- It is often triggered by significant emotional or physical stress.
Observation:
- A 71-year-old female experienced intense emotional stress after a bicycle accident.
- Her presentation included chest pain, ECG changes (ST depression, T wave inversion, QT prolongation), and elevated cardiac enzymes.
Findings:
- The patient was diagnosed with stress-induced cardiomyopathy.
- Echocardiography revealed transient apical ballooning of the left ventricle with basal hyperkinesis.
- Coronary angiography excluded significant coronary artery obstruction.
Implications:
- This case highlights the importance of considering stress-induced cardiomyopathy in patients presenting with acute coronary syndrome symptoms, especially after a stressful event.
- Prompt diagnosis and management are crucial for recovery, as ventricular function normalized within two weeks in this patient.
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