A case of Takotsubo cardiomyopathy mimicking an acute coronary syndrome.
BACKGROUND
A 71-year-old woman presented with severe chest pain after an episode of acute emotional distress. Her serum levels of cardiac enzymes were slightly elevated and electrocardiography revealed anterior ST-segment elevations. Significant coronary stenoses were excluded. A left ventriculogram revealed apical ballooning and a hypercontractile basal segment.


METHODS
Serum cardiac enzyme measurements, echocardiography, coronary angiography and left ventriculography.


METHODS
Takotsubo cardiomyopathy.


RESULTS
Treatment with beta-blockers, aspirin, angiotensin-converting-enzyme inhibitors, and intravenous diuretics.
Metzl
Mark D
MD
Montefiore Medical Center, Bronx, NY, USA.
Altman
Erik J
EJ
Spevack
Daniel M
DM
Doddamani
Sanjay
S
Travin
Mark I
MI
Ostfeld
Robert J
RJ
D000368:Aged; D009202:Cardiomyopathies / Q000175:diagnosis* / Q000503:physiopathology; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009200:Myocardial Contraction / Q000502:physiology; D009203:Myocardial Infarction / Q000175:diagnosis*; D015635:Radionuclide Ventriculography; D013577:Syndrome; D016277:Ventricular Function, Left / Q000502:physiology