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CASE REPORT
Year : 2014  |  Volume : 24  |  Issue : 3  |  Page : 83-85

Chronic stress and early recurrence of takotsubo cardiomyopathy: A clinical case


Division of Cardiology, Department of Pathobiology and Biotechnology Medical and Forensic, University of Palermo, Italy

Correspondence Address:
Giuseppina Novo
Chair and Division of Cardiology, University of Palermo, Via Del Vespro, 127. CAP 90127
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2211-4122.143976

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Takotsubo cardiomyopathy (TC) is characterized by transient systolic dysfunction of the apical and middle segments of the left ventricle, accompanied by electrocardiographic abnormalities and mild elevation of cardiac biomarker levels in the absence of obstructive coronary artery disease. The following case is of a woman suffering from chronic emotional stress with a very early recurrence. An acute trigger event was not detectable in both cases. It is possible to suppose that, in predisposed subjects, chronic stress by increasing sympathetic activity may be considered not only a trigger for TC, but also a negative prognostic factor for early recurrence.


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