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Takotsubo
Teaching Case
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.
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