Cardiomiopatía de Takotsubo

ABSTRACT: Takotsubo cardiomyopathy or stress-induced cardiomyopathy is often diagnosed as an acute coronary syndrome in postmenopausal women, because its clinical presentation may mimic an acute myocardial infarction: anginal chest pain, changes in the ST segment and T wave in precordial leads and e...

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Autores:
Sénior Sánchez, Juan Manuel
Tamayo Artunduaga, Natalia
Fernández Cadavid, Andrés
Rodríguez Dimuro, Arturo
Tipo de recurso:
Article of investigation
Fecha de publicación:
2015
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
spa
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/11642
Acceso en línea:
http://hdl.handle.net/10495/11642
Palabra clave:
Cardiomiopatía de Takotsubo
Insuficiencia Cardíaca
Síndrome Coronario Agudo
Acute Coronary Syndrome
Heart Failure
Takotsubo Cardiomyopathy
Rights
openAccess
License
Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
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network_name_str Repositorio UdeA
repository_id_str
dc.title.spa.fl_str_mv Cardiomiopatía de Takotsubo
dc.title.alternative.spa.fl_str_mv Takotsubo cardiomyopathy
title Cardiomiopatía de Takotsubo
spellingShingle Cardiomiopatía de Takotsubo
Cardiomiopatía de Takotsubo
Insuficiencia Cardíaca
Síndrome Coronario Agudo
Acute Coronary Syndrome
Heart Failure
Takotsubo Cardiomyopathy
title_short Cardiomiopatía de Takotsubo
title_full Cardiomiopatía de Takotsubo
title_fullStr Cardiomiopatía de Takotsubo
title_full_unstemmed Cardiomiopatía de Takotsubo
title_sort Cardiomiopatía de Takotsubo
dc.creator.fl_str_mv Sénior Sánchez, Juan Manuel
Tamayo Artunduaga, Natalia
Fernández Cadavid, Andrés
Rodríguez Dimuro, Arturo
dc.contributor.author.none.fl_str_mv Sénior Sánchez, Juan Manuel
Tamayo Artunduaga, Natalia
Fernández Cadavid, Andrés
Rodríguez Dimuro, Arturo
dc.subject.none.fl_str_mv Cardiomiopatía de Takotsubo
Insuficiencia Cardíaca
Síndrome Coronario Agudo
Acute Coronary Syndrome
Heart Failure
Takotsubo Cardiomyopathy
topic Cardiomiopatía de Takotsubo
Insuficiencia Cardíaca
Síndrome Coronario Agudo
Acute Coronary Syndrome
Heart Failure
Takotsubo Cardiomyopathy
description ABSTRACT: Takotsubo cardiomyopathy or stress-induced cardiomyopathy is often diagnosed as an acute coronary syndrome in postmenopausal women, because its clinical presentation may mimic an acute myocardial infarction: anginal chest pain, changes in the ST segment and T wave in precordial leads and elevated cardiac biomarkers of necrosis. It is characterized by systolic dysfunction with transient ballooning of the apical and middle portions of the left ventricle, in the absence of significant coronary disease. Prognosis is good and complete recovery occurs in days to weeks. We report three cases of postmenopausal women with initial diagnosis of acute myocardial infarction; no significant coronary lesions were found in the coronary angiography; apical ballooning, characteristic of this syndrome, was observed on left ventriculography. On follow-up, the three patients had complete recovery of systolic function at six weeks.
publishDate 2015
dc.date.issued.none.fl_str_mv 2015
dc.date.accessioned.none.fl_str_mv 2019-08-13T21:15:38Z
dc.date.available.none.fl_str_mv 2019-08-13T21:15:38Z
dc.type.spa.fl_str_mv info:eu-repo/semantics/article
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dc.type.local.spa.fl_str_mv Artículo de investigación
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dc.identifier.citation.spa.fl_str_mv Sénior Sánchez JM, Tamayo Artunduaga N, Fernández Cadavid A, Rodríguez Dimuro A. Cardiomiopatía de Takotsubo. Iatreia. 2015 Abr-Jun;28(2): 202-206. DOI 10.17533/ udea.iatreia.v28n2a11
dc.identifier.issn.none.fl_str_mv 0121-0793
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10495/11642
dc.identifier.doi.none.fl_str_mv 10.17533/udea.iatreia.v28n2a11.
dc.identifier.eissn.none.fl_str_mv 2011-7965
identifier_str_mv Sénior Sánchez JM, Tamayo Artunduaga N, Fernández Cadavid A, Rodríguez Dimuro A. Cardiomiopatía de Takotsubo. Iatreia. 2015 Abr-Jun;28(2): 202-206. DOI 10.17533/ udea.iatreia.v28n2a11
0121-0793
10.17533/udea.iatreia.v28n2a11.
2011-7965
url http://hdl.handle.net/10495/11642
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language spa
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dc.rights.*.fl_str_mv Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)
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dc.publisher.spa.fl_str_mv Universidad de Antioquia, Facultad de Medicina
dc.publisher.group.spa.fl_str_mv Grupo para el Estudio de las Enfermedades Cardiovasculares
dc.publisher.place.spa.fl_str_mv Medellín, Colombia
institution Universidad de Antioquia
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spelling Sénior Sánchez, Juan ManuelTamayo Artunduaga, NataliaFernández Cadavid, AndrésRodríguez Dimuro, Arturo2019-08-13T21:15:38Z2019-08-13T21:15:38Z2015Sénior Sánchez JM, Tamayo Artunduaga N, Fernández Cadavid A, Rodríguez Dimuro A. Cardiomiopatía de Takotsubo. Iatreia. 2015 Abr-Jun;28(2): 202-206. DOI 10.17533/ udea.iatreia.v28n2a110121-0793http://hdl.handle.net/10495/1164210.17533/udea.iatreia.v28n2a11.2011-7965ABSTRACT: Takotsubo cardiomyopathy or stress-induced cardiomyopathy is often diagnosed as an acute coronary syndrome in postmenopausal women, because its clinical presentation may mimic an acute myocardial infarction: anginal chest pain, changes in the ST segment and T wave in precordial leads and elevated cardiac biomarkers of necrosis. It is characterized by systolic dysfunction with transient ballooning of the apical and middle portions of the left ventricle, in the absence of significant coronary disease. Prognosis is good and complete recovery occurs in days to weeks. We report three cases of postmenopausal women with initial diagnosis of acute myocardial infarction; no significant coronary lesions were found in the coronary angiography; apical ballooning, characteristic of this syndrome, was observed on left ventriculography. On follow-up, the three patients had complete recovery of systolic function at six weeks.RESUMEN: La cardiomiopatía de Takotsubo o cardiopatía por estrés se diagnostica frecuentemente como un síndrome coronario agudo en mujeres posmenopáusicas, por su presentación clínica, que puede simular un infarto agudo de miocardio: dolor torácico anginoso, cambios del segmento ST y de la onda T en las derivaciones precordiales y elevación de biomarcadores cardíacos de necrosis. Se caracteriza por disfunción sistólica con discinesia transitoria de los segmentos apicales y/o medios del ventrículo izquierdo, en ausencia de enfermedad coronaria significativa. Tiene buen pronóstico y la recuperación ocurre en días a semanas. Describimos los casos de tres mujeres posmenopáusicas con diagnóstico inicial de infarto agudo de miocardio. En la coronariografía no se encontraron lesiones significativas, y en la ventriculografía se observó el abalonamiento apical y medial, que es característico de este síndrome. En todos los casos hubo recuperación completa de la función sistólica a las seis semanas de seguimiento.4application/pdfspaUniversidad de Antioquia, Facultad de MedicinaGrupo para el Estudio de las Enfermedades CardiovascularesMedellín, Colombiainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85Atribución-NoComercial-CompartirIgual 2.5 Colombia (CC BY-NC-SA 2.5 CO)info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-sa/4.0/Cardiomiopatía de TakotsuboInsuficiencia CardíacaSíndrome Coronario AgudoAcute Coronary SyndromeHeart FailureTakotsubo CardiomyopathyCardiomiopatía de TakotsuboTakotsubo cardiomyopathyIatreiaIatreia202206282ORIGINALSeniorJuan_2015_CardiomiopatíadeTakotsubo.pdfSeniorJuan_2015_CardiomiopatíadeTakotsubo.pdfapplication/pdf334861http://bibliotecadigital.udea.edu.co/bitstream/10495/11642/1/SeniorJuan_2015_Cardiomiopat%c3%adadeTakotsubo.pdfedbe559eafd28769de17d4e5624d9a36MD51CC-LICENSElicense_urllicense_urltext/plain; charset=utf-849http://bibliotecadigital.udea.edu.co/bitstream/10495/11642/2/license_url4afdbb8c545fd630ea7db775da747b2fMD52license_textlicense_texttext/html; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/11642/3/license_textd41d8cd98f00b204e9800998ecf8427eMD53license_rdflicense_rdfLicenciaapplication/rdf+xml; charset=utf-80http://bibliotecadigital.udea.edu.co/bitstream/10495/11642/4/license_rdfd41d8cd98f00b204e9800998ecf8427eMD54LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://bibliotecadigital.udea.edu.co/bitstream/10495/11642/5/license.txt8a4605be74aa9ea9d79846c1fba20a33MD5510495/11642oai:bibliotecadigital.udea.edu.co:10495/116422021-04-01 13:36:27.149Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.coTk9URTogUExBQ0UgWU9VUiBPV04gTElDRU5TRSBIRVJFClRoaXMgc2FtcGxlIGxpY2Vuc2UgaXMgcHJvdmlkZWQgZm9yIGluZm9ybWF0aW9uYWwgcHVycG9zZXMgb25seS4KCk5PTi1FWENMVVNJVkUgRElTVFJJQlVUSU9OIExJQ0VOU0UKCkJ5IHNpZ25pbmcgYW5kIHN1Ym1pdHRpbmcgdGhpcyBsaWNlbnNlLCB5b3UgKHRoZSBhdXRob3Iocykgb3IgY29weXJpZ2h0Cm93bmVyKSBncmFudHMgdG8gRFNwYWNlIFVuaXZlcnNpdHkgKERTVSkgdGhlIG5vbi1leGNsdXNpdmUgcmlnaHQgdG8gcmVwcm9kdWNlLAp0cmFuc2xhdGUgKGFzIGRlZmluZWQgYmVsb3cpLCBhbmQvb3IgZGlzdHJpYnV0ZSB5b3VyIHN1Ym1pc3Npb24gKGluY2x1ZGluZwp0aGUgYWJzdHJhY3QpIHdvcmxkd2lkZSBpbiBwcmludCBhbmQgZWxlY3Ryb25pYyBmb3JtYXQgYW5kIGluIGFueSBtZWRpdW0sCmluY2x1ZGluZyBidXQgbm90IGxpbWl0ZWQgdG8gYXVkaW8gb3IgdmlkZW8uCgpZb3UgYWdyZWUgdGhhdCBEU1UgbWF5LCB3aXRob3V0IGNoYW5naW5nIHRoZSBjb250ZW50LCB0cmFuc2xhdGUgdGhlCnN1Ym1pc3Npb24gdG8gYW55IG1lZGl1bSBvciBmb3JtYXQgZm9yIHRoZSBwdXJwb3NlIG9mIHByZXNlcnZhdGlvbi4KCllvdSBhbHNvIGFncmVlIHRoYXQgRFNVIG1heSBrZWVwIG1vcmUgdGhhbiBvbmUgY29weSBvZiB0aGlzIHN1Ym1pc3Npb24gZm9yCnB1cnBvc2VzIG9mIHNlY3VyaXR5LCBiYWNrLXVwIGFuZCBwcmVzZXJ2YXRpb24uCgpZb3UgcmVwcmVzZW50IHRoYXQgdGhlIHN1Ym1pc3Npb24gaXMgeW91ciBvcmlnaW5hbCB3b3JrLCBhbmQgdGhhdCB5b3UgaGF2ZQp0aGUgcmlnaHQgdG8gZ3JhbnQgdGhlIHJpZ2h0cyBjb250YWluZWQgaW4gdGhpcyBsaWNlbnNlLiBZb3UgYWxzbyByZXByZXNlbnQKdGhhdCB5b3VyIHN1Ym1pc3Npb24gZG9lcyBub3QsIHRvIHRoZSBiZXN0IG9mIHlvdXIga25vd2xlZGdlLCBpbmZyaW5nZSB1cG9uCmFueW9uZSdzIGNvcHlyaWdodC4KCklmIHRoZSBzdWJtaXNzaW9uIGNvbnRhaW5zIG1hdGVyaWFsIGZvciB3aGljaCB5b3UgZG8gbm90IGhvbGQgY29weXJpZ2h0LAp5b3UgcmVwcmVzZW50IHRoYXQgeW91IGhhdmUgb2J0YWluZWQgdGhlIHVucmVzdHJpY3RlZCBwZXJtaXNzaW9uIG9mIHRoZQpjb3B5cmlnaHQgb3duZXIgdG8gZ3JhbnQgRFNVIHRoZSByaWdodHMgcmVxdWlyZWQgYnkgdGhpcyBsaWNlbnNlLCBhbmQgdGhhdApzdWNoIHRoaXJkLXBhcnR5IG93bmVkIG1hdGVyaWFsIGlzIGNsZWFybHkgaWRlbnRpZmllZCBhbmQgYWNrbm93bGVkZ2VkCndpdGhpbiB0aGUgdGV4dCBvciBjb250ZW50IG9mIHRoZSBzdWJtaXNzaW9uLgoKSUYgVEhFIFNVQk1JU1NJT04gSVMgQkFTRUQgVVBPTiBXT1JLIFRIQVQgSEFTIEJFRU4gU1BPTlNPUkVEIE9SIFNVUFBPUlRFRApCWSBBTiBBR0VOQ1kgT1IgT1JHQU5JWkFUSU9OIE9USEVSIFRIQU4gRFNVLCBZT1UgUkVQUkVTRU5UIFRIQVQgWU9VIEhBVkUKRlVMRklMTEVEIEFOWSBSSUdIVCBPRiBSRVZJRVcgT1IgT1RIRVIgT0JMSUdBVElPTlMgUkVRVUlSRUQgQlkgU1VDSApDT05UUkFDVCBPUiBBR1JFRU1FTlQuCgpEU1Ugd2lsbCBjbGVhcmx5IGlkZW50aWZ5IHlvdXIgbmFtZShzKSBhcyB0aGUgYXV0aG9yKHMpIG9yIG93bmVyKHMpIG9mIHRoZQpzdWJtaXNzaW9uLCBhbmQgd2lsbCBub3QgbWFrZSBhbnkgYWx0ZXJhdGlvbiwgb3RoZXIgdGhhbiBhcyBhbGxvd2VkIGJ5IHRoaXMKbGljZW5zZSwgdG8geW91ciBzdWJtaXNzaW9uLgo=