Heart Views. 2013 Oct;14(4):185-9. doi: 10.4103/1995-705X.126888.
Heart views : the official journal of the Gulf Heart Association
Jorge A Brenes Salazar
PMID: 24695751 PMCID: PMC3970376 DOI: 10.4103/1995-705X.126888
Transient apical cardiomyopathy, also known as Takot-tsubo-like left ventricular dysfunction, is a clinical syndrome characterized by reversible left ventricular dysfunction at the apex with preserved basal contractility, in the setting of new ST and T wave changes suggestive of ischemia but no evidence of obstructive coronary artery disease on angiography. The main mechanism appears to be intense neuroadrenergic myocardial stimulation with endothelial dysfunction of the coronary vasculature. It has been noted that patients with esophageal spasms also have a tendency for coronary spasms. We present the case of a postmenopausal female with documented severe esophageal spasms who presented with atypical angina and recurrent Tako-tsubo cardiomyopathy.
Keywords: Esophageal spasms; Tako-tsubo; transient apical cardiomyopathy