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 journalArticle

26 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)53-56
Number of pages4
JournalNature Clinical Practice Cardiovascular Medicine
Volume3
Issue number1
DOIs
StatePublished - Jan 2006

Fingerprint

Takotsubo Cardiomyopathy
Acute Coronary Syndrome
Coronary Stenosis
Enzymes
Coronary Angiography
Serum
Chest Pain
Angiotensin-Converting Enzyme Inhibitors
Diuretics
Aspirin
Echocardiography
Electrocardiography
Therapeutics

Keywords

  • Basal hyperkinesis
  • Left ventricular apical ballooning syndrome
  • Myocardial stunning
  • Takotsubo cardiomyopathy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

A case of Takotsubo cardiomyopathy mimicking an acute coronary syndrome. / Metzl, Mark D.; Altman, Erik J.; Spevack, Daniel M.; Doddamani, Sanjay; Travin, Mark I.; Ostfeld, Robert J.

In: Nature Clinical Practice Cardiovascular Medicine, Vol. 3, No. 1, 01.2006, p. 53-56.

Research output: Contribution to journalArticle

Metzl, Mark D. ; Altman, Erik J. ; Spevack, Daniel M. ; Doddamani, Sanjay ; Travin, Mark I. ; Ostfeld, Robert J. / A case of Takotsubo cardiomyopathy mimicking an acute coronary syndrome. In: Nature Clinical Practice Cardiovascular Medicine. 2006 ; Vol. 3, No. 1. pp. 53-56.
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