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Case Reports
. 2006 Jan;3(1):53-6; quiz 57.
doi: 10.1038/ncpcardio0414.

A case of Takotsubo cardiomyopathy mimicking an acute coronary syndrome

Mark D Metzl  1 , Erik J Altman, Daniel M Spevack, Sanjay Doddamani, Mark I Travin, Robert J Ostfeld
Affiliations
Case Reports

A case of Takotsubo cardiomyopathy mimicking an acute coronary syndrome

Mark D Metzl et al. Nat Clin Pract Cardiovasc Med. 2006 Jan.

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 beta-blockers, aspirin, angiotensin-converting-enzyme inhibitors, and intravenous diuretics.

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