A case of Takotsubo cardiomyopathy mimicking an acute coronary syndrome

Mark D. Metzl; Erik J. Altman; Daniel M. Spevack; Sanjay Doddamani; Mark I. Travin; Robert J. Ostfeld

doi:10.1038/ncpcardio0414

A case of Takotsubo cardiomyopathy mimicking an acute coronary syndrome

Mark D. Metzl, Erik J. Altman, Daniel M. Spevack, Sanjay Doddamani, Mark I. Travin, Robert J. Ostfeld

Research output: Contribution to journal › Article › peer-review

29 Scopus citations

Abstract

Background: A 71-year-old woman presented with severe chest pain after an episode of acute emotional distress. Her serum levels of cardiac enzymes were slightly elevated and electrocardiography revealed anterior ST-segment elevations. Significant coronary stenoses were excluded. A left ventriculogram revealed apical ballooning and a hypercontractile basal segment. Investigations: Serum cardiac enzyme measurements, echocardiography, coronary angiography and left ventriculography. Diagnosis: Takotsubo cardiomyopathy Management: Treatment with β-blockers, aspirin, angiotensin-converting-enzyme inhibitors, and intravenous diuretics.

Original language	English (US)
Pages (from-to)	53-56
Number of pages	4
Journal	Nature Clinical Practice Cardiovascular Medicine
Volume	3
Issue number	1
DOIs	https://doi.org/10.1038/ncpcardio0414
State	Published - Jan 2006

Keywords

Basal hyperkinesis
Left ventricular apical ballooning syndrome
Myocardial stunning
Takotsubo cardiomyopathy

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1038/ncpcardio0414

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title = "A case of Takotsubo cardiomyopathy mimicking an acute coronary syndrome",

abstract = "Background: A 71-year-old woman presented with severe chest pain after an episode of acute emotional distress. Her serum levels of cardiac enzymes were slightly elevated and electrocardiography revealed anterior ST-segment elevations. Significant coronary stenoses were excluded. A left ventriculogram revealed apical ballooning and a hypercontractile basal segment. Investigations: Serum cardiac enzyme measurements, echocardiography, coronary angiography and left ventriculography. Diagnosis: Takotsubo cardiomyopathy Management: Treatment with β-blockers, aspirin, angiotensin-converting-enzyme inhibitors, and intravenous diuretics.",

keywords = "Basal hyperkinesis, Left ventricular apical ballooning syndrome, Myocardial stunning, Takotsubo cardiomyopathy",

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AU - Metzl, Mark D.

AU - Altman, Erik J.

AU - Spevack, Daniel M.

AU - Doddamani, Sanjay

AU - Travin, Mark I.

AU - Ostfeld, Robert J.

PY - 2006/1

Y1 - 2006/1

N2 - Background: A 71-year-old woman presented with severe chest pain after an episode of acute emotional distress. Her serum levels of cardiac enzymes were slightly elevated and electrocardiography revealed anterior ST-segment elevations. Significant coronary stenoses were excluded. A left ventriculogram revealed apical ballooning and a hypercontractile basal segment. Investigations: Serum cardiac enzyme measurements, echocardiography, coronary angiography and left ventriculography. Diagnosis: Takotsubo cardiomyopathy Management: Treatment with β-blockers, aspirin, angiotensin-converting-enzyme inhibitors, and intravenous diuretics.

AB - Background: A 71-year-old woman presented with severe chest pain after an episode of acute emotional distress. Her serum levels of cardiac enzymes were slightly elevated and electrocardiography revealed anterior ST-segment elevations. Significant coronary stenoses were excluded. A left ventriculogram revealed apical ballooning and a hypercontractile basal segment. Investigations: Serum cardiac enzyme measurements, echocardiography, coronary angiography and left ventriculography. Diagnosis: Takotsubo cardiomyopathy Management: Treatment with β-blockers, aspirin, angiotensin-converting-enzyme inhibitors, and intravenous diuretics.

KW - Basal hyperkinesis

KW - Left ventricular apical ballooning syndrome

KW - Myocardial stunning

KW - Takotsubo cardiomyopathy

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A case of Takotsubo cardiomyopathy mimicking an acute coronary syndrome

Abstract

Keywords

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