title: A rare case of concomitant stress (takotsubo) cardiomyopathy and acute myocardial infarction.
abstract: Stress cardiomyopathy and myocardial infarction are generally regarded as mutually exclusive diagnoses. We report the case of a 54-year-old woman who presented with acute chest pain. Her echocardiogram and ventriculography were typical of stress cardiomyopathy, but she had one subocclusive coronary lesion, a highly significant rise in troponin and a subendocardial myocardial infarction scar documented on cardiac magnetic resonance. This is a rare case of concomitant myocardial infarction and stress cardiomyopathy, in which the acute coronary syndrome itself may have been the stressor, given the absence of other identifiable causes.
authors.affiliation: Departamento de Cardiologia, Hospital Santa Maria, Centro Hospitalar de Lisboa Norte, CCUL, Universidade de Lisboa, Lisboa, Portugal. Electronic address: mnmenezes.gm@gmail.com.
authors.forename: Miguel Nobre
authors.initials: MN
authors.lastname: Menezes
authors.affiliation: Departamento de Cardiologia, Hospital Santa Maria, Centro Hospitalar de Lisboa Norte, CCUL, Universidade de Lisboa, Lisboa, Portugal.
authors.forename: Doroteia
authors.initials: D
authors.lastname: Silva
authors.affiliation: Departamento de Cardiologia, Hospital Santa Maria, Centro Hospitalar de Lisboa Norte, CCUL, Universidade de Lisboa, Lisboa, Portugal.
authors.forename: Ana G
authors.initials: AG
authors.lastname: Almeida
authors.affiliation: Departamento de Cardiologia, Hospital Santa Maria, Centro Hospitalar de Lisboa Norte, CCUL, Universidade de Lisboa, Lisboa, Portugal.
authors.forename: Fausto J
authors.initials: FJ
authors.lastname: Pinto
authors.affiliation: Departamento de Cardiologia, Hospital Santa Maria, Centro Hospitalar de Lisboa Norte, CCUL, Universidade de Lisboa, Lisboa, Portugal.
authors.forename: Dulce
authors.initials: D
authors.lastname: Brito
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D054549:Takotsubo Cardiomyopathy / Q000150:complications*
keywords: Acute myocardial infarction; Cardiac magnetic resonance; Cardiomiopatia de stress; Enfarte agudo do miocárdio; Ressonância magnética cardíaca; Stress cardiomyopathy; Síndrome Takotsubo; Takotsubo syndrome