[Is the negative T-wave on the ECG always a sign of ischemia? (human stress cardiomyopathy?) ].
A 74-year-old woman was admitted on account of chest pain which developed after a death in the family. On the ECG on admission there were negative T waves (the picture of extensive subapicardial ischaemia). Coronarography made on the subsequent day was quite normal. The laboratory finding (CK, CK-MB, AST) did not suggest an acute coronary attack. Ultrasound examination of the heart revealed only slight hypokinesia of the anterior wall. ECG returned to normal within 3 months. Four years later the patient is asymptomatic. The ECG finding and clinical course suggest the clinical entity of "stress cardiomyopathy", which is not a well known and unequivocally accepted diagnosis.
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Kardiocentrum I. interní kliniky Fakultní nemocnice, Hradec Králové.
D000368:Aged; D002637:Chest Pain / Q000209:etiology* / Q000523:psychology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D017202:Myocardial Ischemia / Q000175:diagnosis* / Q000523:psychology; D013315:Stress, Psychological / Q000150:complications