Takotsubo

Case presentation:

• Female. 
• 73 y.o.
• Palpitations & Giddiness for 2 months .
• Hyperlipidemia (LDL 2.49) on statin.
• Hypertension (160/100) on diuretic Lumbar Spondylosis, Gastritis, Fatty Liver, Cataracts.
• Non specific symptoms.

Teaching points:

• Reversible form of LV dysfunction, characterized by apical akinesis, usually precipitated by extreme emotional stress.
• Possibly mediated by sympathetic hyperactivity, resulting in a neurogenic stunned myocardium (microvascular dysfunction).
• “Tako-tsubo” derived from a japanese pot for trapping octopus.
• Good prognosis.