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Case Reports
. 2019 Jun 9:2019:9128273.
doi: 10.1155/2019/9128273. eCollection 2019.

A Rare Case of Takotsubo Syndrome and Acute Coronary Syndrome of the Right Coronary Artery

Nicholas Mencer  1 , Larry Todd Justice  1 , William Black  2 , Kayleigh Litton  2
Affiliations
Case Reports

A Rare Case of Takotsubo Syndrome and Acute Coronary Syndrome of the Right Coronary Artery

Nicholas Mencer et al. Case Rep Cardiol. .

Abstract

Takotsubo syndrome (TTS) is an increasingly recognized heart disease that was initially regarded as a benign condition, but since has proven to cause irreversible myocardial damage, resembling that of acute coronary syndrome (ACS). The etiology of TTS is still uncertain but may be associated with catecholamine elevations during times of emotional or physical stress. Catecholamines are also understood to have prothrombotic properties, which could lead to ACS. With these similarities, differentiating these two pathologies can be difficult, especially when TTS and ACS occur simultaneously.

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Figures

Figure 1
Figure 1
ECG on admission demonstrating diffuse T-wave inversions.
Figure 2
Figure 2
Apical three chamber echocardiogram demonstrating left ventricular apical ballooning and basal hyperkinesis consistent with takotsubo syndrome.
Figure 3
Figure 3
Angiographical images obtained during cardiac catheterization.
Figure 4
Figure 4
ECG post-PCI demonstrating interval improvement of inferior T-wave inversions and sustained T-wave abnormalities in the anterolateral leads.
Figure 5
Figure 5
Apical three chamber echocardiogram obtained two weeks following revascularization of the RCA demonstrating no residual left ventricular dysfunction.
See this image and copyright information in PMC

References

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