title: Takotsubo Cardiomyopathy Masquerading as Acute Coronary Syndrome.
abstract: Takotsubo cardiomyopathy, also called transient left ventricular apical ballooning syndrome or Gebrochenes-Herz-Syndrome, is a rare entity which may masquerade as acute coronary syndrome (ACS) with sudden onset of chest pain and/or dyspnea, transient left ventricle apical akinesia, electrocardiographic changes typical of ACS and mild increase in cardiac enzymes in the background of normal coronary arteries. Here, we present a case of a 45 year old female who presented with acute onset dyspnea and chest pain with severe ischemic changes on the ECG and raised troponin levels. She was treated with a provisional diagnosis of an ACS but on further workup was found to have Takotsubo cardiomyopathy. Her presentation to the hospital along with relevant clinical findings, electrocardiographic, echocardiographic and angiographic findings are presented in the article.
authors.affiliation: Cardiology Registrar.
authors.forename: Shankar
authors.initials: S
authors.lastname: Iyer
authors.affiliation: Consultant Non invasive Cardiology, Hinduja Healthcare Surgicals, Mumbai, Maharashtra.
authors.forename: Subhash
authors.initials: S
authors.lastname: Shivtarkar
authors.affiliation: Consultant Cardiologist and Electrophysiologist, Hinduja Hospital, Mumbai, Maharashtra.
authors.forename: Ameya
authors.initials: A
authors.lastname: Udyavar
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis*; D002637:Chest Pain; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis*