Tako-Tsubo Mimicking a Myocardial Infarction in a Young Man: A Clinical Case with Review of the Literature

Abstract

Background: Stress cardiomyopathy or Tako-Tsubo syndrome is a heart disease which is most likely linked to an excessive discharge of catecholamines triggered by physical or emotional stress responsible for myocardial toxicity. Tako-tsubo constitutes the main differential diagnosis of an acute coronary syndrome. Women are most affected, but recently more and more men are described in the literature. We describe here the case of a 45-year-old smoking man, followed for a manic-depressive illness who consulted for chest pain typical of ACS and in whom coronary angiography, transthoracic echocardiography, ventriculography and imaging cardiac magnetic resonance led to the diagnosis of Tako-Tsubo syndrome.