Tako-Tsubo Mimicking a Myocardial Infarction in a Young Man: A Clinical Case with Review of the Literature
BE. Ovaga *
Department of Cardiology, IBN Rochd University Hospital, Casablanca, Morocco.
IS Alfakihi
Department of Cardiology, IBN Rochd University Hospital, Casablanca, Morocco.
H Charif
Department of Cardiology, IBN Rochd University Hospital, Casablanca, Morocco.
B. Mohammed SIDI
Department of Cardiology, IBN Rochd University Hospital, Casablanca, Morocco.
P.M Mulendele
Department of Cardiology, IBN Rochd University Hospital, Casablanca, Morocco.
M. Njie
Department of Cardiology, IBN Rochd University Hospital, Casablanca, Morocco.
M. Charfo Bacharou
Department of Cardiology, IBN Rochd University Hospital, Casablanca, Morocco.
J Moyambi
Department of Cardiology, IBN Rochd University Hospital, Casablanca, Morocco.
M. Haboub
Department of Cardiology, IBN Rochd University Hospital, Casablanca, Morocco.
L. Azzouzi
Department of Cardiology, IBN Rochd University Hospital, Casablanca, Morocco.
A Drighril
Department of Cardiology, IBN Rochd University Hospital, Casablanca, Morocco.
R. Habbal
Department of Cardiology, IBN Rochd University Hospital, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Background: Stress cardiomyopathy or Tako-Tsubo syndrome is a heart disease which is most likely linked to an excessive discharge of catecholamines triggered by physical or emotional stress responsible for myocardial toxicity. Tako-tsubo constitutes the main differential diagnosis of an acute coronary syndrome. Women are most affected, but recently more and more men are described in the literature.
We describe here the case of a 45-year-old smoking man, followed for a manic-depressive illness who consulted for chest pain typical of ACS and in whom coronary angiography, transthoracic echocardiography, ventriculography and imaging cardiac magnetic resonance led to the diagnosis of Tako-Tsubo syndrome.
Keywords: Tako-tsubo, ventriculography, heart failure