Evaluation psychiatrique et psychologique du syndrome de tako-tsubo: à propos d’un cas

Abstract

Stress cardiomyopathy or Tako Tsubo cardiomyopathy is a cardiac pathology evoking acute coronary syndrome characterized by electrocardiographic signs, cardiac enzyme elevation and no obstructive coronary lesions. It generally affects postmenopausal women and it usually occurs after periods of intense stress. Disease onset is widely variable, ranging from anginal pain (most common) to cardiogenic shock. Exact pathophysiological mechanism continues to be debated. Various hypotheses have been posited. Abrupt elevation of adrenaline levels appears to be the most credible. In particular, there is no consensus on treatment and prevention. Questions may then be asked about the existence of an underlying psychiatric pathology or a personality predisposition and, therefore, about the role of the psychiatrist in the management of this condition.