HỘI CHỨNG TAKOTSUBO TRÊN NGƯỜI BỆNH CÓ TIỀN SỬ RỐI LOẠN LO ÂU: BÁO CÁO CA LÂM SÀNG
Main Article Content
Abstract
Background: Takotsubo Syndrome (TTS), also known as "Broken Heart Syndrome," is a stress-induced cardiomyopathy that mimics acute coronary syndrome. Although generally reversible, TTS can lead to severe acute heart failure, particularly in patients with underlying psychological disorders.
Case presentation: A 65-year-old female with a history of anxiety disorder was admitted with acute chest pain and dyspnea following a recent emotional stressor. Laboratory investigations revealed elevated cardiac biomarkers, and electrocardiography demonstrated ST-segment elevation in leads V1–V4. Transthoracic echocardiography on admission showed the typical pattern of apical ballooning with severely reduced left ventricular ejection fraction (33%). Coronary angiography excluded significant obstructive coronary artery disease. The patient was diagnosed with Takotsubo syndrome and managed with optimal medical therapy along with psychological support. At the 2-year follow-up, clinical symptoms remained stable, and cardiac function had fully normalized.
Conclusion: This case highlights the necessity of differential diagnosis for TTS in postmenopausal women and the importance of managing anxiety disorders in holistic patient care.
Article Details
Keywords
Takotsubo Syndrome, Acute heart failure, Anxiety disorder, Apical ballooning.
References
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