Vulnerable personality and Takotsubo cardiomyopathy consequent to emotional stressful events: a clinical case report.

摘要: Introduction: Although the onset of Takotsubo cardiomyopathy (TTC) can be triggered by an acute, intense emotional stress, exact pathogenic mechanisms still remain undefined. Presentation: A 58-year-old female was sent ambulance to Emergency Department (ED) for chest pain and ST elevations on ECG. Her began 3 hours before admission after a domestic argument. Transthoracic echocardiogram showed severe systolic dysfunction with ejection fraction 20%. Cardiac catheterization revealed no significant coronary artery disease. The left ventriculogram apical ballooning hyperdynamic proximal segments. diagnosis Cardiomyophaty made according Mayo Clinic 2008 criteria. patient evolved improvement her condition and, therefore, discharged from hospital. Follow-up seven days later normal LV size function (EF) 43%. Paykel Life Stress Event Scale identified as trigger argument occurred symptom onset. History major life stress event, death loved one, six months symptoms. underwent psychological assessment hospital discharge Emotional Regulation Questionnaire BDI showing high suppression/ low reappraisal profile moderate depression. Conclusion: This case highlights hypothesis possible link between cognitive processing vulnerability syndrome.