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. 2016:2016:5189741.
doi: 10.1155/2016/5189741. Epub 2016 Jun 29.

Takotsubo Cardiomyopathy Coexisting with Acute Pericarditis and Myocardial Bridge

Seyed Hashem Sezavar  1 , Neda Toofaninejad  2 , Shokoufeh Hajsadeghi  1 , Hassan Riahi Beni  1 , Reza Ghanavati  1 , Marjan Hajahmadi  1 , Morteza Hassanzadeh  3
Affiliations

Takotsubo Cardiomyopathy Coexisting with Acute Pericarditis and Myocardial Bridge

Seyed Hashem Sezavar et al. Case Rep Cardiol. 2016.

Abstract

Takotsubo cardiomyopathy (TCM) is a stress-induced cardiomyopathy that occurs primarily in postmenopausal women. It mimics clinical picture of acute coronary syndrome with nonobstructive coronary arteries and a characteristic transient left (or bi-) ventricular apical ballooning at angiography. The exact pathogenesis of TCM is not well recognized. Hereby we present an unusual case of TCM that presents with signs and symptoms of acute pericarditis and was also found to have a coexisting coronary muscle bridge on coronary angiography. We discuss the impact of these associations in better understanding of the pathogenesis of TCM.

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Figures

Figure 1
Figure 1
Initial electrocardiogram of the patient at the admission time.
Figure 2
Figure 2
Echocardiography showing apical hypokinesis with preserved basal function.
Figure 3
Figure 3
Coronary angiography revealed severe muscle bridge at mid portion of left anterior descending artery during systole (a) and diastole (b). Left ventriculography showed systolic ballooning of the apex consistent with Takotsubo cardiomyopathy (c).
Figure 4
Figure 4
The electrocardiogram at 2nd day of admission revealing “mild” T-wave inversion at leads I, II, III, aVL, aVF, and V4–V6.
Figure 5
Figure 5
The electrocardiogram at 3rd day of admission revealing “deep” T-wave inversion at leads I, II, III, aVL, aVF, and V2–V6.
See this image and copyright information in PMC

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