Późna postać zespołu takotsubo w przebiegu zatorowości płucnej

Takotsubo syndrome (TTS) is an acute condition characterized by transient decrease of regional contractility most often involving apical segments of left ventricle. We present the case report of 87-year old woman diagnosed with intermediate-high risk acute pulmonary embolism, previously discharged in a stable condition, who was presented again to the Emergency Department because of a syncope and increasing levels of troponin. After differential diagnostics including coronaroangiography and transthoracic echocardiography complemented by the longitudinal strain assessment with the use of speckle tracking echocardiography a diagnosis of takotsubo cardiomyopathy was made. This case shows the significance of strain echocardiography in diagnostics of TTS.