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CASE REPORT
Takotsubo syndrome in a premenopausal patient
  1. Maria Menezes1,
  2. Daniela Marto2,
  3. Isabel Marcão3,
  4. Catarina Salvado2
  1. 1Nephrology Department, Centro Hospitalar de Lisboa Central EPE, Lisboa, Portugal
  2. 2Internal Medicine Functional Unit 2.5, Centro Hospitalar de Lisboa Central EPE, Lisboa, Portugal
  3. 3Echocardiography Group - Internal Medicine 1.4, Centro Hospitalar de Lisboa Central EPE, Lisboa, Portugal
  1. Correspondence to Dr Maria Menezes, mariamarmenezes{at}gmail.com

Summary

Takotsubo syndrome is a rare clinical condition, with a pathophysiology that is not fully understood. Characterised by an acute and usually reversible heart failure, the condition is often preceded by a stressful event. For the diagnosis of Takotsubo syndrome to be possible, the absence of coronary artery disease as a cause is required. We report a case of Takotsubo syndrome in a 47-year-old woman of fertile age. Electrical and echocardiographic presentations were classical in the patient. However, abnormally elevated cardiac biomarkers were registered. The patient showed signs of clinical improvement, with a follow-up angiography excluding coronary artery disease and therefore leading to a diagnosis of Takotsubo syndrome.

  • cardiovascular medicine
  • meningitis

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Footnotes

  • Contributors MM and DM are major contributors in writing and preparing the manuscript. IM and CS accompanied the patient and also revised the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.