Takotsubo Cardiomyopathy Complicated with Left Ventricle Outflow Tract Obstruction Secundary to Mental Stress. Case Report

Takotsubo Syndrome is an acute heart failure that affects Predominantly posmenopausal women. It is similar to acute coronary syndromes with ST segment elevations, therefore, it’s estimated that 1% to 2% of all acute coronary syndromes are Takotsubo cardiomyopathy. There’s also a relation to physical and psychological stress factors, without an exact physiopathology [1]. A previous RETAKO trial, observed that more than half of their patients had some type of psychological stress [2]. Takotsubo cardiomyopathy etiology has been divided between a primary and secondary form, with the former being caused by physical and psychic stress, as well an idiopathic cause. This group has a better long term prognosis when compared to the secondary form, which includes sepsis, intracranial hemorrhage, cerebrovascular disease, recent surgery, or critical illness [3].