Takotsubo Syndrome and Cerebral Cardioembolism: Case Report to Redefine the Short-term Prognosis

Authors

  • Gabriele Cioni Department of Experimental and Clinical Medicine; Medicina Interna Orientamento Alta Complessità Assistenziale; University of Florence,
  • Andrea Berni Department of Experimental and Clinical Medicine; Medicina Interna Orientamento Alta Complessità Assistenziale; University of Florence,
  • Margherita De Stefano Department of Experimental and Clinical Medicine; Medicina Interna Orientamento Alta Complessità Assistenziale; University of Florence,
  • Emilia Donnarumma Department of Experimental and Clinical Medicine; Medicina Interna Orientamento Alta Complessità Assistenziale; University of Florence,
  • Valentina Guerra Department of Experimental and Clinical Medicine; Medicina Interna Orientamento Alta Complessità Assistenziale; University of Florence,
  • Linda Fallai Department of Experimental and Clinical Medicine; Medicina Interna Orientamento Alta Complessità Assistenziale; University of Florence,
  • Giulia Pacciani Department of Experimental and Clinical Medicine; Medicina Interna Orientamento Alta Complessità Assistenziale; University of Florence,
  • Kristel Spighi Department of Experimental and Clinical Medicine; Medicina Interna Orientamento Alta Complessità Assistenziale; University of Florence,
  • Vanessa Maestripieri Department of Experimental and Clinical Medicine; Medicina Interna Orientamento Alta Complessità Assistenziale; University of Florence,
  • Marco Torri Department of Experimental and Clinical Medicine; Medicina Interna Orientamento Alta Complessità Assistenziale; University of Florence,
  • Loredana Poggesi Department of Experimental and Clinical Medicine; Medicina Interna Orientamento Alta Complessità Assistenziale; University of Florence,

DOI:

https://doi.org/10.17987/icfj.v4i0.154

Keywords:

Takotsubo, stroke, cardiac embolism

Abstract

Takotsubo cardiomyopathy is characterized by transient hypo-kinesis of the left ventricular apex or midventricular segments, without significant stenosis affecting coronary arteries. This cardiomyopathy is well known to be related to cerebral infarction, although scarce data describe the real timing of this adverse event.

We report the case of a 69-year-old woman who experienced Takotsubo cardiomyopathy, and developed cardiogenic cerebral embolism on the fourth day from the onset of symptoms.

Takotsubo patients could be effectively at high risk for stroke; thus, we should pay attention to rule out ventricular thrombosis, consider immediately anticoagulant therapy, and revise Takotsubo prognosis because its complications.

References

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Published

2015-12-04

Issue

Vol. 4 (2015)

Section

Letters to the Editor

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