Clinical case of mid-ventricular variant of takotsubo syndrome against the background of exacerbation of bronchial asthma

Research in recent decades has expanded our understanding of the pathogenesis and clinical and laboratory data arising from takotsubo syndrome (TS; previously this condition was called takotsubo cardiomyopathy, stress cardiomyopathy), but despite this, its timely diagnosis in practical healthcare causes difficulties. Often these patients are managed according to the protocol of acute coronary syndrome with a “working” diagnosis of myocardial infarction (MI) without obstructive lesions of the coronary arteries; but according to modern concepts, TS is not included in the MI concept. The article describes a clinical observation of secondary TS that developed against the background of bronchial asthma exacerbation. A feature of this case is the development of the mid-ventricular variant of the disease, which occurs approximately 5.5 times less frequently than the typical apical form.