%0 Journal Article
%T Tako-Tsubo Cardiomyopathy¡ªThe Role of Physical and Emotional Stressors: Two Case Report
%A Patr¨ªcia Margarida Serra Carvalho
%A Jandira Helena Lima
%A Jo£¿o Bernardo Cunha
%A Patr¨ªcia Gl¨®ria Dinis Dias
%A Jos¨¦ Gon£¿alo Diniz Vieira
%A Jos¨¦ Manuel Nascimento Costa
%J International Journal of Clinical Medicine
%P 145-150
%@ 2158-2882
%D 2012
%I Scientific Research Publishing
%R 10.4236/ijcm.2012.32029
%X Introduction: Tako-Tsubo cardiomyopathy describes a form of acute and reversible left ventricular dysfunction with a clinical presentation, ECG and cardiac biomarkers that makes it indistinguishable from acute coronary syndrome. Case Presentation: The authors present two cases of tako-tsubo cardiomyopathy in postmenopausal women, the first case following an emotional stressful event and a second case following a blood transfusion and probably associated with intravenous catecholamine perfusion. Both had unobstructed coronary arteries and regional wall-motion abnormalities typical of this syndrome. Conclusions: Tako-tsubo cardiomyopathy is a condition often misdiagnosed. A clinical presentation suggestive of acute coronary syndrome in a postmenopausal woman without history of coronary disease and in whom a precipitating stressful event can be found should lead the physician to suspect the diagnosis of tako-tsubo cardiomyopathy. This syndrome associated with blood transfusion has rarely been described.
%K Tako-Tsubo
%K Left Ventricle
%K Postmenopausal
%K Stress
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=17886