Why the study?
Does MDCT differentiate Takotsubo cardiomyopathy from acute coronary syndrome in a patient with chest pain and apical hypokinesis?
Does MDCT differentiate Takotsubo cardiomyopathy from acute coronary syndrome in a patient with chest pain and apical hypokinesis?
MDCT is a useful noninvasive tool for differentiating Takotsubo cardiomyopathy from acute coronary syndrome.
May support MDCT differentiation of Takotsubo from ACS; hypothesis-generating and requires prospective validation.
We present a 60-year-old woman with chest pain preceded by emotional stress. Trans-thoracic echocardiography demonstrated localized left ventricular hypokinesis around the apical area. Multi-detector row computed tomography (MDCT) revealed no significant stenosis in the coronary arteries, which comfirmed Takotsubo-like cardiomyopathy. We show here the usefulness of MDCT for the noninvasive differentiation of Takotsubo cardiomyopathy from acute coronary syndrome.
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Hara et al. (2007) studied this question.
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