title: [Acute myocardial infarction mimicking takotsubo cardiomyopathy in a patient with myocardial bridging].
abstract: The authors present a case of a 70-year-old woman in whom clinical picture of an acute coronary syndrome with ST segment elevation was suggestive of takotsubo cardiomyopathy (TC). Chest pain, extensive ECG changes and typical TC left ventricular contraction pattern were preceded by emotional and physical stress, while in coronary angiography no atherosclerotic lesions were found. There was however left anterior descending coronary artery myocardial bridging with total systolic compression. Following treatment with beta-blocker and diltiazem, spectacular left ventricle function improvement, with near total recovery after 6 months was observed. Magnetic resonance imaging detected the presence of subendocardial late gadolinium enhancement indicative of postmyocardial scar.
authors.affiliation: Józef Struś Hospital, Poznan, Poland, Department of Internal Medicine. welikowski@wp.pl
authors.forename: Waldemar
authors.initials: W
authors.lastname: Elikowski
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Małek
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Pyda
authors.forename: Mieczysław
authors.initials: M
authors.lastname: Dziarmaga
authors.forename: Dariusz
authors.initials: D
authors.lastname: Angerer
authors.forename: Dominika
authors.initials: D
authors.lastname: Montewska
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000368:Aged; D002317:Cardiovascular Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004110:Diltiazem / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D054084:Myocardial Bridging / Q000150:complications* / Q000175:diagnosis*; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis; D018487:Ventricular Dysfunction, Left / Q000188:drug therapy / Q000209:etiology
chemical_list: D000319:Adrenergic beta-Antagonists; D002317:Cardiovascular Agents; D004110:Diltiazem