Assessment with intracoronary pressure and flow guidewire, at baseline and after intracoronary adenosine infusion, in a patient with Takotsubo syndrome

Rev Port Cardiol (Engl Ed). 2019 Nov;38(11):829.e1-829.e3. doi: 10.1016/j.repc.2017.08.014. Epub 2020 Jan 23.
[Article in English, Portuguese]

Abstract

We present the case of a patient with Takotsubo syndrome assessed by intracoronary flow and pressure guidewire, showing elevation of intracoronary pressures at the level of the anterior descending artery, and thus demonstrating a new therapeutic target in a still little understood etiopathogenic entity. The results of this test have never been previously reported in Takotsubo patients.

Keywords: Coronary disease; Doença coronária; Guia de pressão/fluxo intracoronária; Intracoronary pressure and flow guidewire; Síndrome de Takotsubo; Takotsubo syndrome.

Publication types

  • Case Reports

MeSH terms

  • Adenosine / administration & dosage
  • Aged
  • Blood Pressure / physiology*
  • Coronary Circulation / physiology
  • Coronary Vessels* / diagnostic imaging
  • Coronary Vessels* / physiology
  • Diagnostic Techniques, Cardiovascular
  • Electrocardiography
  • Humans
  • Takotsubo Cardiomyopathy* / diagnosis
  • Takotsubo Cardiomyopathy* / physiopathology

Substances

  • Adenosine