Tako-Tsubo Syndrome Triggered by a Fibroscopy: Case Report

Abstract

Tako-Tsubo cardiomyopathy, also called stress cardiopathy, is a rare syndrome characterized by transient regional systolic dysfunction. It can mimic myocardial infarction but the absence of coronary obstruction allows to redress the diagnosis. Its pathogenesis is not well understood. However, the role of physical or emotional stress has often been associated with this pathology. Here we report, a rare case of a 63-year-old female, with no cardiac risk factors, who presented Tako-Tsubo syndrome after a fibroscopy. This case aims to show that Tako-Tsubo syndrome should be suspected in patients, especially women, with no cardiac risk factors, who present acute chest pain in the context of physical or emotional stress, after excluding differential diagnoses.

Keywords: atypical chest pain; clinical case report; systolic heart failure; tako-tsubo cardiomyopathy (ttc); transthoracic echocardiogram; ventriculography.

Figure 1. EKG findings

ST-segment elevation in anterior leads

Figure 2. Ventriculography findings (RAO view)

A: end diastole, B: end systole