Transient midventricular ballooning syndrome. an atypical presentation of takotsubo cardiomyopathy.
A 72-year-old woman without cardiovascular history presented with acute substernal chest pain and dyspnoea. The electrocardiogram was normal, but the blood test analyses showed an elevated troponin T level. Emergency coronary angiography revealed normal epicardial coronary arteries, but the left ventriculogram demonstrated midventricular dilatation and akinesis with well-preserved contractility of the apex and base. The patient was diagnosed as having an atypical presentation of takotsubo cardiomyopathy. She was treated with a beta blocker and an ACE inhibitor and recovered well. A follow-up echocardiogram at 2 months showed normalization of the wall motion abnormality.
Department of Cardiology, Catharina-ziekenhuis, Eindhoven, The Netherlands. nard.rademakers@catharina-ziekenhuis.nl
Leonard M
LM
Rademakers
Ralph W
RW
Weijers
Inge F
IF
Wijnbergen
D000368:Aged; D005260:Female; D015637:Gated Blood-Pool Imaging; D006801:Humans; D054549:Takotsubo Cardiomyopathy / Q000097:blood / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D020107:Troponin T / Q000097:blood
D020107:Troponin T