Abstract

RAMIREZ CHAVES, Juan José  and  CALDERON CALVO, Carlos. Miocardiopatía tipo Takotsubo. Rev. costarric. cardiol [online]. 2014, vol.16, n.1, pp.25-32. ISSN 1409-4142.

Tako-Tsubo cardiomiopathy was described in 1991 on mainly female postmenopause patients, with a previous physical o psicological stress situation, whom presented with chest pain symptoms and ECG changes, transitorial contractility alterations, mainly anteroapical on the left ventricle and cardiac biomarkers elevations; all this without any atherosclerotic coronary heart disease as the cause of the disease presentation. The physiopathology of the disease has not been completely ellucidated , but there is an actual consensus about the toxic effect of catecholamines on the myocardium, with a variable prognosis from only chest pain, heart failure, cardiogenic shock and even death. That is why the disease is an actual challenge on the differential diagnosis of non atherosclerotic acute coronary síndromes.

Keywords : Myocardial Infarction; Takotsubo; Heart Failure; Chest Pain.

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