Authors

• Krunoslav Koscak — Varazdin General Hospital, Varazdin, Croatia — ORCID: 0000-0002-8289-4962
• Tomislav Vuger — Varazdin General Hospital, Varazdin, Croatia — ORCID: 0000-0001-9739-5114
• Josip Vincelj — Dubrava University Hospital, Zagreb, Croatia — ORCID: 0000-0003-0064-9128

Keywords

acute heart failure, stress, Takotsubo, left ventricular thrombus

DOI

Full Text

In this poster we are presenting a case of 62-years-old female patient with „broken heart syndrome“ also known as Takotsubo cardiomyopathy (1), with left ventricular thrombus. 62-years-old female patient with history of hypertension was hospitalized on Cardiology Department with acute hearth failure and chest pain, that started half an hour after very stressful verbal conflict with close relative. 12-lead ECG shown inversion of T wave in lateral leads. Laboratory results of troponin I 0,12ng/ml at arrival rise to 2,45 ng/ml. Echocardiography show typical hypokinesia of apical and mid-left ventricular myocardium with basal hypercontractility. Our conclusion was an acute coronary syndrome. Fourth day there was also forming of a left ventricular thrombus that we monitored. After treating patient with furosemid, ramipril, acetilsalicylic acid and low molecular weight heparin for few days, she was sent to coronary angiography. There was no obstructive coronary artery disease found. Our patient was treated for few more days back in our hospital and fully recovered. Three month after releasing from hospital on check-up, she had normal 12-lead ECG and echocardiography. From all the data we conclude that she had Takotsubo cardiomyopathy.

Literature

1. Lyon AR. Takotsubo cardiomyopathy. Dialogues Cardiovasc Med. 2014;19:75–96.