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Published on: August 6, 2015

Broken heart syndrome: a case report

Yaser Jenab1, Mohamad Taher, Samira Shirzad

  • 1Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.

The Journal of Tehran Heart Center
|January 11, 2013
PubMed

Insights

Takotsubo cardiomyopathy, a stress-induced heart condition, mimics heart attacks but has distinct management needs. Prompt diagnosis and treatment lead to full recovery, highlighting its unique pathophysiology.

Area of Science:

  • Cardiology
  • Cardiovascular Medicine

Background:

  • Stress-induced cardiomyopathy, or Takotsubo cardiomyopathy, is increasingly diagnosed.
  • It presents as transient left ventricular dysfunction, mimicking acute myocardial infarction without coronary stenosis.

Observation:

  • A case presented with dizziness and near syncope following intense emotional stress.
  • ECG showed ST-T changes, and echocardiography revealed severe left ventricular systolic dysfunction.
  • Coronary angiography showed minimal coronary artery disease.

Findings:

  • The patient received beta-blockers, ACE inhibitors, Aspirin, Clopidogrel, and diuretics.
  • Symptoms resolved, and follow-up echocardiography showed significant improvement in left ventricular function.

Implications:

  • Understanding Takotsubo cardiomyopathy's unique pathophysiology is crucial for appropriate management.
  • This condition is distinct from acute myocardial infarction, requiring tailored therapeutic strategies.
  • Successful treatment can lead to complete recovery of cardiac function.

Keywords:
Diagnosis, differentialTakotsubo cardiomyopathyVentricular dysfunction, left

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