Key result
Apical ballooning syndrome and acute myocardial infarction may rarely occur simultaneously at acute presentation, challenging diagnostic criteria that require the absence of a culprit lesion.
Case Report (n=1)
This case illustrates the rare simultaneous occurrence of apical ballooning syndrome and acute myocardial infarction, challenging the traditional diagnostic criteria that require the absence of a culprit occlusive coronary lesion to diagnose takotsubo syndrome.
Authors
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May prompt consideration of concurrent diagnoses in atypical STEMI presentations; leaves open whether takotsubo criteria require revision.
Hussain et al. (2017) conducted a case report in Apical ballooning (takotsubo) syndrome with concurrent ST-segment elevation myocardial infarction (n=1). Aspirin, ticagrelor, heparin, beta blocker, and ACE-inhibitor was evaluated. Apical ballooning syndrome and acute myocardial infarction may rarely occur simultaneously at acute presentation, challenging diagnostic criteria that require the absence of a culprit lesion.
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