Key result
Takotsubo cardiomyopathy mimics acute stent thrombosis following primary PCI for STEMI.
Case Report (n=1)
Takotsubo cardiomyopathy can present as recurrent ST-segment elevation mimicking stent thrombosis immediately following percutaneous coronary intervention.
Recurrent ST elevation post-PCI warrants considering takotsubo cardiomyopathy; this case leaves open its incidence and diagnostic criteria.
Takotsubo cardiomyopathy, also known as "broken heart syndrome," is a transient left ventricular dysfunction associated with stress (usually emotional) induced myocardial injury and stunning. It often presents as myocardial infarction on surface electrocardiogram (EKG). Diagnosis is made by coronary angiography, which rules out coronary artery disease and shows pathognomonic apical ballooning. In this article, we present a case of a 72-year-old woman who initially presented with an ST segment elevation myocardial infarction on EKG. Coronary angiography showed severe left anterior descending artery and diagonal lesions requiring percutaneous coronary intervention. Post-percutaneous coronary intervention, EKG changes resolved. The next day, the patient developed recurrent chest pain and her EKG showed diffuse T-wave inversion in precordial leads with reemerging ST segment elevations concerning for stent thrombosis. The patient underwent repeat emergent coronary angiography, which showed patent stents and findings consistent with takotsubo cardiomyopathy.
No takes yet. Share an insight, caveat, or question.
Khattak et al. (2018) conducted a case report in Takotsubo cardiomyopathy (n=1). Takotsubo cardiomyopathy was evaluated on Diagnosis of Takotsubo cardiomyopathy via angiography/ventriculography. Takotsubo cardiomyopathy mimicking stent thrombosis developed in a 72-year-old woman the day after she underwent percutaneous coronary intervention for a ST-segment elevation myocardial infarction.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: