Takotsubo syndrome in a young woman during puerperium: case report

https://doi.org/10.4081/monaldi.2011.195

Authors

  • Mariantonietta D’Agostino | antonietta.dagostino@libero.it Department of Clinical Medicine, Cardiovascular and Immunological Sciences, Cardiac Rehabilitation Unit, University of Naples “Federico II”, Naples, Italia.
  • Francesco Giallauria Department of Clinical Medicine, Cardiovascular and Immunological Sciences, Cardiac Rehabilitation Unit, University of Naples “Federico II”, Naples, Italia.
  • Caterina Montuori Cardiac Rehabilitation, Clinic Center, Naples, Italia.
  • Francesca Farina Cardiac Rehabilitation, Clinic Center, Naples, Italia.
  • Luigi Maresca Department of Clinical Medicine, Cardiovascular and Immunological Sciences, Cardiac Rehabilitation Unit, University of Naples “Federico II”, Naples, Italia.
  • Maria Mancini Department of Clinical Medicine, Cardiovascular and Immunological Sciences, Cardiac Rehabilitation Unit, University of Naples “Federico II”, Naples, Italia.
  • Giorgio Torella Department of Clinical Medicine, Cardiovascular and Immunological Sciences, Cardiac Rehabilitation Unit, University of Naples “Federico II”, Naples, Italia.
  • Domenico Del Forno Department of Clinical Medicine, Cardiovascular and Immunological Sciences, Cardiac Rehabilitation Unit, University of Naples “Federico II”, Naples, Italia.
  • Sara Aurino Department of Preventive Medicine, University of Naples “Federico II”, Naples, Italia.
  • Carmine Chieffo Cardiac Rehabilitation, Clinic Center, Naples, Italia.
  • Carlo Vigorito Department of Clinical Medicine, Cardiovascular and Immunological Sciences, Cardiac Rehabilitation Unit, University of Naples “Federico II”, Naples, Italia.

Abstract

Introduction. Takotsubo syndrome is a reversibile cardiomyopathy that often occurs during an emotional stress and is more frequent in post-menopausal women. Case presentation. We describe a clinic case of a 42 years old woman, admitted to our emergency unit because of a thoracic pain. The ECG showed ST-T elevation in V1- V4, the echocardiography revealed akinesia of apical segment of left ventricle. Coronary arteries were free from significant stenosis and ventriculography showed akinesia of apical segment of left ventricle. In the following days, ECG evolved toward a normalization of ST-T segment with appearance of negative T wave in V2-V6, and also the echocardiography showed a normalized LV wall motion. The patient was discharged and ECG and echocardiography were normal at two months follow up. Conclusion. In this case report, a young woman during puerperium presented with a Takotsubo syndrome. We speculate that the high Prolactin level and her emotional state contributed to the clinical manifestation of the syndrome.

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Published
2015-12-09
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Issue
Section
Case Reports
Keywords:
Takotsubo syndrome, Takotsubo cardiomyopathy, apical ballooning syndrome
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How to Cite
D’Agostino, Mariantonietta, Francesco Giallauria, Caterina Montuori, Francesca Farina, Luigi Maresca, Maria Mancini, Giorgio Torella, Domenico Del Forno, Sara Aurino, Carmine Chieffo, and Carlo Vigorito. 2015. “Takotsubo Syndrome in a Young Woman During Puerperium: Case Report”. Monaldi Archives for Chest Disease 76 (2). https://doi.org/10.4081/monaldi.2011.195.

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