Keywords
chest pain
ECG
prehospital care
scan
stress
How to Cite
Abstract
Tako-tsubo syndrome (STT) is an acute cardiomyopathy due to stress, more common in postmenopausal women. Described in Japan in the 1990s, it owes its name to its appearance of octopus trap in ventriculography. We report the case of a 58-year-old man with chest pain in a context of cardiovascular risk factors, initially oriented towards an ischemic origin. The cardiologic report shows an abnormality of the segmental kinetics and apical edema, which are characteristic of an STT, and especially the absence of coronary lesion.
This case highlights the difficulty of diagnostic orientation in prehospital care; STT representing a true atypical acute coronary syndrome. The emergency physician can use progressive and discordant electrocardiographic abnormalities and a dynamic cooperation with the regulator and the cardiologist. Ultrasound at the initial phase could optimize patient management.
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