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Cardiovascular Medicine
Volume 9
Issue 12
10.4414/cvm.2006.01214
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Cardiovascular Medicine is published by MDPI from Volume 28 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Editores Medicorum Helveticorum (EMH).
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Background:
Case Report

Ein Gebrochenes Herz nach einem Streit mit der Schwiegermutter: Die Stressinduzierte Kardiomyopathie

by
Lukas Spieker
1,*,
Peter Burger
1,
Thomas Ritschard
2,
Christof Noti
1 and
Roberto Corti
3
1
Herzzentrum Klinik Beau-Site, Bern, Switzerland
2
Innere Medizin, Spital Aarberg, Bern, Switzerland
3
Kardiologie, Universitätsspital Zürich, Switzerland
*
Author to whom correspondence should be addressed.
Cardiovasc. Med. 2006, 9(12), 433; https://doi.org/10.4414/cvm.2006.01214
Submission received: 29 September 2006 / Revised: 29 October 2006 / Accepted: 29 November 2006 / Published: 29 December 2006
Versions Notes

Abstract

A 59-year-old woman with chest pain after a controversy with her mother-in-law, ECG changes and positive troponine was transferred to our clinic for emergency coronary angiography. Angiography showed open coronary arteries and midventricular akinesia of the left ventricle. These findings are typical for stressinduced cardiomyopathy. This entity is also named Tako-Tsubo cardiomyopathy and has gained attention as a differential diagnosis of acute coronary syndrome. Typically, akinetic zones cannot be attributed to a single coronary territory. The underlying pathophysiological mechanisms may include microvascular spasm induced by excessive catecholamine release. Characteristically, only minimal increases of myocardial damage is documented by biochemical markers (CK, troponine). This is in contrast to often extensive ventricular akinetic regions possibly resulting in haemodynamic instability and need for inotropic support. Typically the myocardium remains viable, as can be shown by cardiac magnetic resonance tomography, and impaired ventricular function completely recovers over weeks.

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MDPI and ACS Style

Spieker, L.; Burger, P.; Ritschard, T.; Noti, C.; Corti, R. Ein Gebrochenes Herz nach einem Streit mit der Schwiegermutter: Die Stressinduzierte Kardiomyopathie. Cardiovasc. Med. 2006, 9, 433. https://doi.org/10.4414/cvm.2006.01214

AMA Style

Spieker L, Burger P, Ritschard T, Noti C, Corti R. Ein Gebrochenes Herz nach einem Streit mit der Schwiegermutter: Die Stressinduzierte Kardiomyopathie. Cardiovascular Medicine. 2006; 9(12):433. https://doi.org/10.4414/cvm.2006.01214

Chicago/Turabian Style

Spieker, Lukas, Peter Burger, Thomas Ritschard, Christof Noti, and Roberto Corti. 2006. "Ein Gebrochenes Herz nach einem Streit mit der Schwiegermutter: Die Stressinduzierte Kardiomyopathie" Cardiovascular Medicine 9, no. 12: 433. https://doi.org/10.4414/cvm.2006.01214

APA Style

Spieker, L., Burger, P., Ritschard, T., Noti, C., & Corti, R. (2006). Ein Gebrochenes Herz nach einem Streit mit der Schwiegermutter: Die Stressinduzierte Kardiomyopathie. Cardiovascular Medicine, 9(12), 433. https://doi.org/10.4414/cvm.2006.01214

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