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...

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Bibliographic Details
Published in:Revista portuguesa de cardiologia (English ed.) 2015-07, Vol.34 (7), p.499.e1-499.e3
Main Authors: Nobre Menezes, Miguel, Silva, Doroteia, Almeida, Ana G, Pinto, Fausto J, Brito, Dulce
Format: Article
Language:English
Subjects:
Acute myocardial infarction
Cardiac magnetic resonance
Cardiomiopatia de stress
Cardiovascular
Enfarte agudo do miocárdio
Ressonância magnética cardíaca
Stress cardiomyopathy
Síndrome Takotsubo
Takotsubo syndrome
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Summary: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.
ISSN:2174-2049
2174-2049
DOI:10.1016/j.repce.2015.06.006