Takotsubo cardiomyopathy in an old man with multiple cardiovascular risk factors and chronic anxiety

Abstract

We describe a 75-year-old male, with several risk factors for coronary artery disease admitted for ST-segment elevation acute myocardial infarction. Unexpectedly, coronary angiography showed normal coronary arteries; left ventriculography revealed hypercontractility of the basal segments, ballooning of the medial and apical segments of the antero-lateral wall with ejection fraction of 40%, suggesting Takotsubo syndrome. Two-dimensional transthoracic echocardiography on admission confirmed the alterations of the segmental wall motion abnormality observed in left ventriculography. Repeated transthoracic echocardiogram revealed normalized left ventricular systolic function (ejection fraction of 62%) without any segmental wall motion abnormality. He was discharged at home with routine appointment. He remainders asymptomatic in sixth month follow up. *Correspondence to: Humberto Morais – Hospital Militar Principal/Instituto Superior Rua Pedro Miranda 40-42 Maianga Luanda República de Angola, E-mail: hmorais1@gmail.com