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Case Reports in Medicine
Volume 2015 (2015), Article ID 292658, 4 pages
http://dx.doi.org/10.1155/2015/292658
Case Report

Nightmare-Induced Atypical Midventricular Tako-Tsubo Cardiomyopathy

1Cardiology Unit, S. Maria Annunziata Hospital, 50012 Florence, Italy
2Emergency Department, Serristori Hospital, Figline Valdarno, 50063 Florence, Italy
3Emergency Department, S. Maria Annunziata Hospital, 50012 Florence, Italy

Received 18 November 2014; Revised 5 February 2015; Accepted 5 February 2015

Academic Editor: Grigorios Korosoglou

Copyright © 2015 Veronica Fibbi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Tako-Tsubo cardiomyopathy (TTC) is a reversible cardiomyopathy characterized by acute left ventricular segmental dysfunction, whose clinical presentation resembles that of acute myocardial infarction. The syndrome often follows a psychophysical stressful event and is characterized by echocardiographic evidence of akinesia of the left ventricular mid-apical segments. Atypical echocardiographic patterns of TTC have recently been described, often triggered by emotional stressors, rather than physical. In this report, we describe a case of atypical TTC triggered by an unusual stressor (recurrent nightmare) in a 45-year-old woman, with peculiar clinical presentation and evolution characterized by persistent loss of consciousness, neurological deterioration, absence of typical symptoms of TTC, and features suggestive of a hysterical crisis.