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CASE REPORT
Year : 2013  |  Volume : 14  |  Issue : 4  |  Page : 185-189

Recurrent transient apical cardiomyopathy (Tako-Tsubo-like left ventricular dysfunction) in a postmenopausal female with diffuse esophageal spasms


Department of Medicine, Division of Cardiovascular Diseases, Mayo Clinic, MN, USA

Correspondence Address:
Jorge A Brenes Salazar
Mayo Clinic, 200 First St. SW, Rochester, MN 55905
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.126888

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Transient apical cardiomyopathy, also known as Takot-tsubo-like left ventricular dysfunction, is a clinical syndrome characterized by reversible left ventricular dysfunction at the apex with preserved basal contractility, in the setting of new ST and T wave changes suggestive of ischemia but no evidence of obstructive coronary artery disease on angiography. The main mechanism appears to be intense neuroadrenergic myocardial stimulation with endothelial dysfunction of the coronary vasculature. It has been noted that patients with esophageal spasms also have a tendency for coronary spasms. We present the case of a postmenopausal female with documented severe esophageal spasms who presented with atypical angina and recurrent Tako-tsubo cardiomyopathy.


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