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.
- Basal hyperkinesis
- Left ventricular apical ballooning syndrome
- Myocardial stunning
- Takotsubo cardiomyopathy
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine