Related Experiment Video
Updated: Jan 21, 2026

Conscious and Non-conscious Representations of Emotional Faces in Asperger's Syndrome
Published on: July 31, 2016
[Takotsubo syndrome and hyperthyroidism: a case report]
A Irigaray Echarri1, A Ernaga Lorea, N Eguilaz Esparza
1Servicio de Endocrinología y Nutrición. Complejo Hospitalario de Navarra. Pamplona.. anairigarayecharri@gmail.com.
Insights
Stress cardiomyopathy (Takotsubo syndrome) mimics heart attacks but lacks blocked arteries. This case highlights hyperthyroidism as a potential trigger for Takotsubo syndrome, emphasizing the need for identifying predisposing factors.
Area of Science:
- Cardiology
- Endocrinology
Background:
- Stress cardiomyopathy, or Takotsubo syndrome, presents with symptoms mimicking acute coronary syndrome, including ECG changes and elevated troponin, but typically shows no obstructive coronary lesions.
- Regional wall motion abnormalities on echocardiography are characteristic of Takotsubo syndrome.
- Thyroid disorders have been associated with Takotsubo syndrome, though the underlying mechanism remains unclear.
Observation:
- A case study of a woman presenting with acute chest pain, electrocardiographic abnormalities, and elevated troponin levels was observed.
- Severe ventricular dysfunction was detected via echocardiography, with coronary arteriography revealing no obstructive lesions, consistent with Takotsubo syndrome.
- The patient was diagnosed with hyperthyroidism due to Graves' disease, identified as the likely trigger for the Takotsubo syndrome.
Findings:
- The presented case confirms the association between hyperthyroidism and Takotsubo syndrome.
- Echocardiography revealed significant ventricular dysfunction, a hallmark of Takotsubo syndrome.
- Coronary angiography excluded obstructive coronary artery disease, differentiating it from typical myocardial infarction.
Implications:
- Identifying and managing clinical factors, such as hyperthyroidism, that may predispose patients to Takotsubo syndrome is crucial.
- Understanding triggers like Graves' disease can improve the management and outcomes for patients with Takotsubo syndrome.
- This case underscores the importance of considering endocrine disorders in the differential diagnosis of patients presenting with symptoms suggestive of acute coronary syndrome.
Abstract:
Stress cardiomyopathy, or Takotsubo syndrome, is similar to that of an acute coronary syndrome, with electrocardiographic changes and an increase in troponin levels; however, coronary arteriography typically shows no obstructive lesions. One of the characteristic patterns are regional wall motion abnormalities identified by echocardiography. It has been described in association with thyroid disorders, although the causal mechanism is not clearly established. We present the case of a woman with acute chest pain and electrical and analytical changes. A severe ventricular dysfunction was observed but the coronary tree was free of lesions, all of which was compatible with a stress cardiomyopathy. Hyperthyroidism due to Graves' disease was observed as a trigger. The identification and management of clinical factors that might predispose patients to Takotsubo syndrome or impact on subsequent clinical outcome is mandatory.
More Related Videos
05:12Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome
Published on: September 19, 2019
09:39Generation of Induced Pluripotent Stem Cells from Turner Syndrome 45XO Fetal Cells for Downstream Modelling of Neurological Deficits Associated with the Syndrome
Published on: December 4, 2021
Related Concept Videos
Data Reporting and Recording
Types of Reports I: Hands-off Report
Following are the key components and categories of hand-off reports:
Purpose and Process:
Types of Reports II: Incident or Occurrence Report
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Nephrotic Syndrome I : Introduction
Types of Reports III: Telephone and Verbal Reports
Here's an overview of each type:
Telephone Orders
Reporter Genes