Tako-Tsubo Syndrome Induced by Emotional Stress Leading to Cardiogenic Shock and Cardiocirculatory Arrest in a 56 Old-Year-Old Patient with Deficit of Protein C

Transient left ventricular (LV) dysfunction syndrome, or Tako-tsubo syndrome, occurs following intense emotional or physical stress and simulates the clinical presentation of an acute myocardial infarction. The prognosis is favorable with normalization of wall motion abnormalities within weeks. In this case we report a young female patient who developed sudden chest pain and consciousness disorder after a profound stress (mother’s death).The patient had characteristic feature of progressive pulmonary edema. Her symptom worsened gradually leading to herintubation. An immediately performed echocardiography showed akinetic mid-to-distal portion of the left ventricular chamber and hyperkinetic activity in basal segment with an ejection fraction (EF) of 25%. Coronary angiography showed normal coronary arteries. After 6 days of monitoring she was extubated and had a cardiac MRI that confirmed the diagnosis of tako-tsubo.