CLINICAL CASE TAKOTSUBO CARDIOMYOPATHY

A clinical case of a rare disease is described «Takotsubo cardiomyopathy» (syndrome of a «Broken heart»). Reversible spasm of coronary arteries is the ground of its pathogenesis. This spasm clinically resembles myocardial infarction attack. The incidence of syndrome of a «Broken heart» is 1-2%. Women are more often ill. Stress is more often provide to be the cause of thin pathology. Takotsubo cardiomyopathy was discovered in 1990 by Japanese cardiologists. Criteria for the Mayo Clinic were adopted as diagnostic standards. Differential diagnosis is performed with acute coronary syndrome. An important difference between Takotsubo cardiomyopathy and acute coronary syndrome is the absence of hemodynamically significant stenosis of the coronary arteries. Although clinical symptoms are pronounced, conservative therapy is performed without invasive interventions. Сonservative therapy includes the following drugs: ACE inhibitors, beta-blockers, diuretics, as well as antiaggregants and anticoagulants. These drugs do not use for a long time. Its outcome is more often is favorable. The differential diagnosis of Acute coronary syndrome and Takotsubo cardiomyopathy in a patient of 34 years admitted to the Ryazan Regional Clinical Cardiological Dispensary with acute coronary syndrome is reflected in the presented clinical case. The diagnosis of myocardial infarction type 1 was excluded as a result of medical examinations. This case demonstrates the capabilities of diagnosis and management of patients with Takotsubo cardiomyopathy in real clinical practice.