Case Reports Journal Article Epublish
PubMed: 40630899 DOI: 10.3389/fcvm.2025.1560087
Case Report: Onset of Takotsubo syndrome during a heart rehabilitation session.
Front Cardiovasc Med 12:1560087
Authors: Ana Belén Jiménez-Jiménez, Javier Muñoz-Paz, Diana Ladera-Santos, Ángela Heredia-Torres, Javier Caballero-Villarraso, Fernando Mayordomo-Riera
Affiliations
- GC-28 Group, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Córdoba, Spain.
- Department of Physical Medicine and Rehabilitation, Reina Sofía University Hospital, Córdoba, Spain.
- GC-28 Group, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Córdoba, Spain. Department of Physical Medicine and Rehabilitation, Reina Sofía University Hospital, Córdoba, Spain.
- Department of Cardiology, Reina Sofía University Hospital, Córdoba, Spain.
- Department of Clinical Analysis, Reina Sofía University Hospital, Córdoba, Spain.
Abstract
Takotsubo syndrome (TTS) is an acute cardiac condition characterized by transient regional left ventricular systolic dysfunction. Traditionally, it has been associated with physical or psychological stressors. Clinically, the onset of TTS is similar to acute coronary syndrome, requiring appropriate differential diagnosis to distinguish between the two clinical entities. Its treatment is usually conservative, and the prognosis is generally favorable. We report the case of a 57-year-old woman who was referred to the Department of Rehabilitation after suffering a non-ST-segment elevation myocardial infarction. During her eighth physical rehabilitation session, she developed palpitations and hypertension. Initial telemetry monitoring showed ventricular bigeminy with extrasystoles, tachycardia episodes, and ST-segment elevation. She was admitted to the Department of Cardiology, and cardiac catheterization and subsequent coronary angiography were performed, revealing no incidence of coronary lesions. However, ventriculography demonstrated severe left ventricular dysfunction in the systolic phase, characterized by akinesia of the mid-apical segments. These findings were suggestive of Takotsubo syndrome, which was subsequently confirmed by cardiac magnetic resonance imaging.
MeSH
Heart, Rehabilitation, Takotsubo Cardiomyopathy