Stress cardiomyopathy: electrocardiographic presentation with Wellens type B pattern. Case report.

Authors

  • Jessica Mariel Bazo Medina Servicio de Cardiología, Hospital General de México “Dr. Eduardo Liceaga”, Ciudad de México, México
  • Kassandra Ruíz Colín Servicio de Cardiología, Hospital General de México “Dr. Eduardo Liceaga”, Ciudad de México, México
  • Julio Cesar Alvarado Ávila Servicio de Cardiología, Hospital General de México “Dr. Eduardo Liceaga”, Ciudad de México, México
  • Jorge Álvarez Gutiérrez Servicio de Cardiología, Hospital General de México “Dr. Eduardo Liceaga”, Ciudad de México, México
  • Isabel Maldonado Ríos Unidad de Cuidados Intensivos Coronarios, Hospital General de México “Dr. Eduardo Liceaga”, Ciudad de México, México
  • Rodolfo de Jesus Castaño Guerra Unidad de Cuidados Posquirúrgicos Cardiovasculares, Hospital General de México “Dr. Eduardo Liceaga”, Ciudad de México, México

DOI:

https://doi.org/10.37615/retic.v8n1a9

Keywords:

stress cardiomyopathy, wellens, ventriculography

Abstract

The stress cardiomyopathy or Takotsubo syndrom it’s defined by transitory sistolic dysfunction of left ventricle on the clinical and biochemical scenario of myocardial ischemia, so for the diagnosis it is obligatory to dismiss an acute coronary syndrome. The mechanism of this illness obey to a set of neurohumoral process that conduct to the impaired contraction that does not follow a coronary territory, giving therefore the particular ballooning shape of the LV. We present the case of a young woman with cardiovascular risk factors that manifest chest pain, electrocardiographic abnormalities and segmental wall motion disorders after a surgery.

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References

Singh Trisha, Khan Hilal, Gamble David T., et al. Takotsubo Syndrome: Pathophysiology, Emerging Concepts, and Clinical Implications. Circulation. 2022;145:1002–1019. doi: https://doi.org/10.1161/CIRCULATIONAHA.121.055854

Bratis K. Cardiac Magnetic Resonance in Takotsubo Syndrome. Eur Cardiol. 2017 Aug;12(1):58-62. doi: https://doi.org/10.15420/ecr.2017:7:2

Amin HZ, Amin LZ, Pradipta A. Takotsubo Cardiomyopathy: A Brief Review. J Med Life. 2020 Jan-Mar;13(1):3-7. doi: https://doi.org/10.25122/jml-2018-0067

Ghadri, et al. International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology. Heart J. 2018 Jun 7;39(22):2032-2046. doi: https://doi.org/10.1093/eurheartj/ehy076

Jimeno-Sánchez J, Javierre-Loris MA, Cuevas-León D, et al. Patrones electrocardiográficos «Wellens» y «de Winter» como equivalentes de síndrome coronario agudo con elevación de segmento ST. Arch. Cardiol. Méx. 2023 Mar;93(1): 120-123. doi: https://doi.org/10.24875/ACM.22000098

Dawson DK. Acute stress-induced (takotsubo) cardiomyopathy. Heart. 2018 vol. 104 (2) p96-102. doi: https://doi.org/10.1136/heartjnl-2017-311579

Iacucci I, Carbone I, Cannavale G, et al. Myocardial oedema as the sole marker of acute injury in Takotsubo cardiomyopathy: a cardiovascular magnetic resonance (CMR) study. Radiol Med. 2013,Dec;118(8):1309-1323. doi: https://doi.org/10.1007/s11547-013-0931-1

Scally C, Abbas H, Ahearn T, et al. Myocardial and Systemic Inflammation in Acute Stress-Induced (Takotsubo) Cardiomyopathy. Circulation. 2019.Mar 26;139(13):1581-1592. doi: https://doi.org/10.1161/CIRCULATIONAHA.118.037975

Almendro-Delia M, López-Flores L, Uribarri A, et al. Recovery of Left Ventricular Function and Long-Term Outcomes in Patients With Takotsubo Syndrome. J Am Coll Cardiol. 2024.Sep 24;84(13):1163-1174. doi: https://doi.org/10.1016/j.jacc.2024.05.075

Citro R, Radano I, Parodi G, Di Vece D, Zito C, Novo G et al. Long-term outcome in patients with Takotsubo syndrome presenting with severely reduced left ventricular ejection fraction. Eur J Heart Fail. 2019.Jun;21(6):781-789. doi: https://doi.org/10.1002/ejhf.1373

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Published

2025-04-24

How to Cite

1.
Bazo Medina JM, Ruíz Colín K, Alvarado Ávila JC, Álvarez Gutiérrez J, Maldonado Ríos I, Castaño Guerra R de J. Stress cardiomyopathy: electrocardiographic presentation with Wellens type B pattern. Case report. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2025 Apr. 24 [cited 2025 Apr. 25];8(1):36-9. Available from: https://imagenretic.org/RevEcocarPract/article/view/645

Issue

Vol. 8 No. 1 (2025): Revista de Ecocardiografía Práctica y Otras Técnicas de Imagen Cardíaca

Section

CLINICAL CASES

License

Copyright (c) 2025 Jessica Mariel Bazo Medina, Kassandra Ruíz Colín , Julio Cesar Alvarado Ávila , Jorge Álvarez Gutiérrez , Isabel Maldonado Ríos , Rodolfo de Jesus Castaño Guerra

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

RETIC is distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license https://creativecommons.org/licenses/by-nc-nd/4.0 which allows sharing, copying and redistribution of the material in any medium or format, under the following terms:

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