Takotsubu syndrome in a patient with acute ischemic stroke: Case report

摘要

Taktsubo cardiomyopathy (TC) also known as left ventricular(LV) apical ballooning syndrome commonly affects post-menopausal women who experience severe psychological or emotional stress. It has also been reported following cesarean delivery [1,2]. ReverseTC is a variant of classical one, presents with normal contractility of the apical myocardium with impaired contractility of the basal and midventricular segments [3]. Both types are characterized by transient left ventricular dysfunction, reflected as regional wall motion anomalies typically extending beyond a single coronary artery distribution. Clinically mimics myocardial infarction, chest pain, dyspnea, ST-T changes in electrocardiogram, minor elevation of cardiac enzymes in spite of almost normal angiographic coronary arteries [4,5].