CASE REPORT article
Front. Cardiovasc. Med.
Sec. General Cardiovascular Medicine
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1560087
This article is part of the Research TopicCase Reports in General Cardiovascular Medicine: 2024View all 10 articles
Case Report: Onset of TakoTsubo syndrome during a heart rehabilitation session
Provisionally accepted
Ana Belén Jiménez Jiménez1,2*
Javier Muñoz Paz1,2Maria Diana Ladera Santos1,2Ángela Heredia Torres1,2
Javier Caballero-Villarraso1,2Fernando Mayordomo Riera1,2- 1Reina Sofia University Hospital, Cordoba, Spain
- 2Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Cordova, Spain
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TakoTsubo syndrome (TTS) is an acute cardiac condition characterized by a transient regional left ventricle systolic dysfunction. Traditionally it has been associated with stressors, physical or psychological factors. Its form of onset is similar to acute coronary syndrome (ACS), and it requires an appropriate differential diagnosis to distinguish between both clinical entities. Its treatment is usually conservative, and its prognosis is in general favorable. We report a case of a 57-year-old woman who was referred to the Department of Rehabilitation after suffering a non-ST-segment elevation myocardial infarction (NSTEMI). She began with palpitations and hypertension during the eighth physical rehabilitation session. Initial telemetry showed ventricular bigeminism with extrasystole, tachycardia attacks and ST elevation. She was admitted to the Department of Cardiology, and she was transferred to perform cardiac catheterization and subsequent coronary angiography resulting in no coronary lesions. However, ventriculography demonstrated a left ventricular severe dysfunction in systole phase with middle-apical segments akinesia. These findings suggested diagnosis of TakoTsubo syndrome which was confirmed by cardiac magnetic resonance (CMR).
Keywords: takotsubo, Broken Heart, Stress-induced cardiomyopathy, Atypical onset, heart rehabilitation
Received: 13 Jan 2025; Accepted: 28 May 2025.
Copyright: © 2025 Jiménez Jiménez, Muñoz Paz, Ladera Santos, Heredia Torres, Caballero-Villarraso and Mayordomo Riera. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ana Belén Jiménez Jiménez, Reina Sofia University Hospital, Cordoba, Spain
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