Takotsubo cardiomyopathy: a case report.
A 57-year-old Caucasian woman presented to the emergency department with chest discomfort after testifying in a child custody battle in court. Electrocardiography (ECG) revealed ST-segment elevation in the lateral leads, and T-wave inversions in the inferior and lateral leads. The creatine kinase, creatine kinase-MB, and troponin I concentrations were elevated on presentation. Despite the ECG changes and elevated cardiac markers, coronary angiography demonstrated normal arteries. Left ventricular angiogram revealed an aneurysm at the apex. Takotsubo cardiomyopathy was diagnosed on the basis of these characteristic findings. The patient was discharged on her third hospital day without any complications from the coronary angiography.
Johar
Sandeep
S
Department of Emergency Medicine, State University of New York (SUNY) Upstate Medical University, Syracuse, New York 13210, USA.
Prasad
Heramba
H
Kozman
Hani
H
D015415:Biomarkers / Q000097:blood; D009202:Cardiomyopathies / Q000175:diagnosis*; D002637:Chest Pain / Q000209:etiology; D017023:Coronary Angiography; D003402:Creatine Kinase / Q000097:blood; D004562:Electrocardiography; D004636:Emergency Service, Hospital; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis*; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged; D013315:Stress, Psychological / Q000150:complications; D019210:Troponin I / Q000097:blood
D015415:Biomarkers; D019210:Troponin I; D003402:Creatine Kinase