1. STRESS CARDIOMYOPATHY: A CLINICAL CASE OF RECURRENT OF THE TAKO-TSUBO SYNDROME AND SHORT REVIEW OF LITERATURE.
- Author
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Fasullo, Sergio, Maringhini, Giorgio, Vetrano, Graziella, Parrinello, Gaspare, Novo, Giuseppina, Abrignani, Maurizio, Davì, Stefania, Morana, Benedetto, Raffa, Alessandro, and Renda, Nicolò
- Subjects
TAKOTSUBO cardiomyopathy ,SYMPTOMS ,MENTAL illness ,PSYCHOLOGICAL stress ,LITERATURE reviews ,TYPE 2 diabetes - Abstract
Objective: Stress cardiomyopathy is characterized by symptoms with ECG modification and increased MI-STE typical myocytolysis markers in post-menopausal women who have suffered from an episode or a period of intense emotional stress. A normal coronary artery and a peculiar and reversible morphology of the left ventricle in systole that has taken the Japanese name of Tako-Tsubo. Method: What truly causes the adverse outcome in tako-tsubo cardiomyopathy? The TS basics of pathophysiology have not come to a definitive conclusion. Numerous mechanisms have been proposed. Active triggers are common, but little is known about psychological background characteristics. Results: Anxiety and depression contribute to increasing the risk of myocardial infarction or simulating a coronary syndrome.From a medical point of view, therefore, psychiatric disorders must be placed at the same level with type 2 diabetes, smoking, hypercholesterolemia and hypertension. Although the prognosis is good and spontaneous resolution is common, clinical manifestations may last for weeks. Conclusions: The reported clinical case has characteristics that are compatible with stress cardiomyopathy and could be an example of how such a clinical syndrome if not properly treated can be reproduced. [ABSTRACT FROM AUTHOR]
- Published
- 2018