Key result
A 68-year-old female presenting with Takotsubo cardiomyopathy mimicking an acute myocardial infarction fully recovered normal ventricular function following supportive medical management.
Case Report (n=1)
Takotsubo cardiomyopathy can present identically to acute ST-elevation myocardial infarction but is characterized by normal coronary arteries and reversible apical ballooning.
Highlights Takotsubo as STEMI mimic; leaves open need for prospective diagnostic algorithms.
INTRODUCTION: Takotsubo cardiomyopathy also known as transient left ventricular apical ballooning, stress-induced cardiomyopathy can present with retrosternal chest pain with EKG changes that can mimic a myocardial infraction. CASE PRESENTATION: We present a 68 female with sudden onset retrosternal squeezing chest pain with positive cardiac enzymes and EKG changes suggestive of acute ST-elevation myocardial infraction. Patient was thrombolysed and cardiac cauterization done later showed normal coronaries with ballooning of the left ventricle apex. CONCLUSION: Takotsubo cardiomyopathy is a very rare disease entity yet can present to the emergency room as acute myocardial infraction.
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Jayawardena et al. (2008) conducted a case report in Takotsubo cardiomyopathy (n=1). Supportive medical management was evaluated on Clinical recovery and resolution of left ventricular dysfunction. A 68-year-old female presenting with Takotsubo cardiomyopathy mimicking an acute myocardial infarction fully recovered normal ventricular function following supportive medical management.
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