TRANSIENT VENTRICULAR DYSFUNCTION OR TAKO-TSUBO SYNDROME

Transient ventricular dysfunction (TVD) or TakoTsubo syndrome is a disorder that occurs in middle aged women with an increased cardiovascular risk. It is characterised by a clinical picture suggestive of acute coronary syndrome of unknown cause, triggered by an acute stress situation. A clinical case of this syndrome is presented. A 46 year old female patient was seen as an emergency in her health centre die to a clinical picture of precordial chest pain with electrocardiography changes of an anterior subepicardial lesion. Increases in the myocardial damage markers were detected in the reference hospital. The angiographic catheter showed significant lesions. Ventriculography showed evidence of apical akinesia with a decreased ejection fraction. The results of the complementary examinations led to the diagnosis of a transient ventricular dysfunction syndrome TVDS). TVDS is a condition to take into account in patients who do not have a high cardiovascular risk given the prognostic and treatment implications.