Takotsubo Syndrome

Abstract Takotsubo syndrome occurs in 1-2% of patients admitted the emergency department with suspicion ST-segment elevation myocardial infarction (STEMI), over 90% being postmenopause women. Psycho-emotional or physical stress is main trigger that causes release catecholamines, an important role pathophysiology cardiomyopathy. In most cases, supportive and symptomatic treatment sufficient, a dynamic follow-up left ventricular (LV) function. Usually, complete recovery 3-4 weeks. We are presenting case 67-year-old patient severe angina attack which occuredafter major psycho-emotional stress, electrocardiographic appearance anterior STEMI echocardiographic apical ballooning, both compatible syndrome. Coronary angiography showed muscle bridge systolic compression 75% on descending artery (ADA). The evolution was marked by occurrence cardiogenic shock remitted under treatment, LV particularity resides acute coronary (ACS) after associated muscular bridge, as well shock.