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A case report of coronary artery spasm and takotsubo syndrome: exploring the hidden side of the moon.


ABSTRACT:

Background

Takotsubo syndrome (TTS) is a disease characterized by an acute and reversible myocardial injury typically precipitated by stressful and/or emotional triggers. Despite extensive research, its pathogenesis remains incompletely understood. Spasm of epicardial coronary arteries has been proposed as a potential pathogenic factor in TTS.

Case summary

Herein, we report the case of a 68-year-old female admitted to the emergency department after developing chest pain in concomitance with an intense emotional stress. A diagnosis of non-ST-segment elevation myocardial infarction (NSTEMI) was made. Coronary angiography disclosed normal coronary arteries, and left ventriculography showed an inferior focal akinesia with basal and apical hyperkinesis, so that a diagnosis of 'fo

SUBMITTER: Lombardi M 

PROVIDER: S-EPMC7850618 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature