Abstract

NEVADO PORTERO, Jaime et al. Does the Tako-Tsubo syndrome need a certain coronary anatomy in the apical ventricular region as predisposing factor?. Arch. Cardiol. Méx. [online]. 2007, vol.77, n.1, pp.40-43. ISSN 1665-1731.

The Tako-Tsubo transient left ventricular apical ballooning was born as a clinical profile in the year 2001¹_(IBM1). This syndrome occurs mainly in women older than 60 years and it is frequently preceded by a physical or emotional stress. Its presentation simulates a myocardial infarction, although with some differences: the pain is not always typical, and its intensity is moderate. The electrocardiogram reveals an elevation of ST in the anterior face in 90% of the cases; from the second day on, negative T waves in V2 through V6 leads are present, along with prolongation of the QTc interval. Enzymes are poorly elevated as expected from the electrical alterations. The alteration that defines the syndrome is the hypokinesis or akinesis of the apical segments with hyperkinesis of the basal ones. The main uncertainty of the Tako-Tsubo syndrome is its pathogenesis, its elucidation will provide advances in the practical handling of this syndrome²_(IBM2). We present the clinical case of a patient with this syndrome and a review of the existing medical literature on the possible association with a predisposing coronary anatomy in the apical segment.

Keywords : Tako-Tsubo syndrome; Transient apical dyskinesia; Acute coronary syndrome.

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