Takotsubo Syndrome and Acute Coronary Syndrome: Case Report and Literature Review

Tuba ÖZTÜRK CİMİLLİ, Serpil YAYLACI, Özgür KARCIOĞLU, Cenker EKEN, Mustafa SERİNKEN

Abstract

Takotsubo syndrome (TS) has been described as an acute cardiac condition precipitated by a stressful mental or physical condition. A majority of patients are presented with acute substernal chest pain. It is often difficult to differentiate TS from acute ST-elevation myocardial infarction (STEMI) on initial presentation. The electrocardiograph classically mimics STEMI and is generally accompanied by elevation of myocardial enzymes that warrants immediate cardiac catheterization. The present article reports a patient with TS referred to the emergency department because of symptoms suggestive of acute coronary syndrome.(JAEM 2015; 14: 41-3)

Özet

Takotsubo sendromu (TS), mental veya fiziksel stresli durumun tetiklediği akut kardiyak durumdur. Hastaların büyük çoğunluğu akut substernal göğüs ağrısıyla gelir. Gelişte TS'nin ST elevasyonlu myokard infarktüsünden (STEMİ) ayrımı sıklıkla zordur. Elektrokardiyografi, klasik olarak STEMİ'yi taklit eder ve genellikle kardiyak enzim yüksekliği ile birlikte acil kardiyak kateterizasyon gerekir. Bu makale, acil servise akut koroner sendrom düşündüren yakınmalarla gelen TS'li bir hastayı bildirmektedir.