"Tako-tsubo-like left ventricular dysfunction": a clinical entity mimicking acute myocardial infarction with a favorable prognosis.
An emotionally-distressed, elderly Caucasian woman presented with chest pain and hypertension. Electrocardiogram showed inferior ST-segment elevation, and an urgent cardiac catheterization was performed. Coronary angiography revealed normal appearing coronary arteries; however, left ventriculography showed extensive left ventricular apical akinesis. The patient had a mild rise in cardiac enzyme levels indicative of myocardial injury. She was discharged after an uncomplicated in-hospital course. One month later, the left ventricular wall motion abnormality had improved. In this report, the authors discuss this compilation of findings known as tako-tsubo-like left ventricular dysfunction.
Farouque
H M Omar
HM
Stanford University Medical Center, Interventional Cardiology, Room H2103, 300 Pasteur Drive, Stanford, CA 94305, USA. ofarouque@stanford.edu.
Kaltenbach
Tonya
T
Ako
Junya
J
Tremmel
Jennifer A
JA
Fearon
William F
WF
Yeung
Alan C
AC
Vagelos
Randall H
RH
D000368:Aged; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis*; D013577:Syndrome; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis* / Q000209:etiology