title: Reversible stress cardiomyopathy presenting as acute coronary syndrome with elevated troponin in the absence of regional wall motion abnormalities: a forme fruste of stress cardiomyopathy?
abstract: We present a case of reversible stress cardiomyopathy in a surgical patient, described here as a forme fruste due to its atypical features. It is important to recognize such unusual presentation of stress cardiomyopathy that mimics acute coronary syndrome. Stress cardiomyopathy commonly presents as acute coronary syndrome and is characterized by typical or atypical variants of regional wall motion abnormalities. We report a 60-year-old Caucasian male with reversible stress cardiomyopathy following a sternal fracture fixation. Although the patient had several typical features of stress cardiomyopathy including physical stress, ST-segment elevation, elevated cardiac biomarkers and normal epicardial coronaries, there were few features that were atypical, including unusual age, gender, absence of regional wall motion abnormalities, high lateral ST elevation, and high troponin-ejection fraction product. In conclusion, this could represent a forme fruste of stress cardiomyopathy.
authors: Department of Internal Medicine, Creighton University School of Medicine 601 N 30th Street No. 5800, Omaha, NE 68131, USA.
authors: Mahesh
authors: 0000-0001-5894-7406
authors: M
authors: Anantha Narayanan
authors: Department of Internal Medicine, Creighton University School of Medicine 601 N 30th Street No. 5800, Omaha, NE 68131, USA.
authors: Vimalkumar Veerappan
authors: 0000-0003-4534-2621
authors: VV
authors: Kandasamy
authors: The Cardiac Center of Creighton University, 3006 Webster Street, Omaha, NE 68131, USA.
authors: Satish
authors: 0000-0002-2395-8110
authors: S
authors: Chandraprakasam
authors: The Cardiac Center of Creighton University, 3006 Webster Street, Omaha, NE 68131, USA.
authors: Aryan
authors: A
authors: Mooss