Stress-induced cardiomyopathy [Tako-Tsubo] in a premenopausal woman: a case report from Saudi Arabia

Tako-Tsubo cardiomyopathy [TTC] is a nonischemic cardiomyopathy characterized by reversible left ventricular dysfunction that is seen predominantly in postmenopausal women [>80%]. The syndrome has symptoms that are similar to acute myocardial infarction, such as electrocardiogram changes [ST-segment elevation and subsequent giant T wave inversion] and abnormal cardiac enzymes. The clinical prognosis is usually benign. This article reports the first case of a TTC in a premenopausal Saudi woman. Early diagnosis of TTC excludes the use of stents, thrombolytics, and long-term coronary heart disease medications