Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2010:2010:467867.
doi: 10.1155/2010/467867. Epub 2010 Aug 5.

Inferior ST-Elevation Myocardial Infarction Associated with Takotsubo Cardiomyopathy

Oliver Koeth  1 , Uwe Zeymer, Rudolf Schiele, Ralf Zahn
Affiliations
Case Reports

Inferior ST-Elevation Myocardial Infarction Associated with Takotsubo Cardiomyopathy

Oliver Koeth et al. Case Rep Med. 2010.

Abstract

Takotsubo cardiomyopathy (TCM) is usually characterized by transient left ventricular apical ballooning. Due to the clinical symptoms which include chest pain, electrocardiographic changes, and elevated myocardial markers, Takotsubo cardiomyopathy is frequently mimicking ST-elevation myocardial infarction in the absence of a significant coronary artery disease. Otherwise an acute occlusion of the left anterior descending coronary artery can produce a typical Takotsubo contraction pattern. ST-elevation myocardial infarction (STEMI) is frequently associated with emotional stress, but to date no cases of STEMI triggering TCM have been reported. We describe a case of a female patient with inferior ST-elevation myocardial infarction complicated by TCM.

PubMed Disclaimer

Figures

Figure 1
Figure 1
The initial electrocardiogram showed sinus rhythm and ST-elevations in the leads II, aVF, and V2–V6.
Figure 2
Figure 2
Coronary angiography revealing a 50% stenosis in the left anterior descending coronary artery and a subtotal occlusion (99%) of the circumflex coronary artery.
Figure 3
Figure 3
Coronary angiography revealing a 50% stenosis in the right coronary artery.
Figure 4
Figure 4
Angiogram showing a left ventricular dysfunction with preserved basal function and moderate-to-severe dysfunction in the midventricle and apical regions.
Figure 5
Figure 5
Cardiac magnetic resonance imaging showed a hyper-enhancement confined to the lateral wall.
See this image and copyright information in PMC

References

    1. Dote K, Sato H, Tateishi H, Uchida T, Ishihara M. Myocardial stunning due to simultaneous multivessel coronary spasms: a review of 5 cases. Journal of Cardiology. 1991;21(2):203–214. - PubMed
    1. Gianni M, Dentali F, Grandi AM, Sumner G, Hiralal R, Lonn E. Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review. European Heart Journal. 2006;27(13):1523–1529. - PubMed
    1. Koeth O, Mark B, Kilkowski A, et al. Clinical, angiographic and cardiovascular magnetic resonance findings in consecutive patients with Takotsubo cardiomyopathy. Clinical Research in Cardiology. 2008;97(9):623–627. - PubMed
    1. Abe Y, Kondo M, Matsuoka R, Araki M, Dohyama K, Tanio H. Assessment of clinical features in transient left ventricular apical ballooning. Journal of the American College of Cardiology. 2003;41(5):737–742. - PubMed
    1. Koeth O, Mark B, Zahn R, Zeymer U. Midventricular form of takotsubo cardiomyopathy as a recurrence 1 year after typical apical ballooning: a case report. Cases Journal. 2008;1:p. 331. - PMC - PubMed

Publication types

LinkOut - more resources