Key result
A 53-year-old woman with metastatic colon cancer and acute stress presented with symptoms mimicking acute myocardial infarction and was successfully diagnosed and managed for takotsubo cardiomyopathy.
Case Report (n=1)
This case highlights that Takotsubo cardiomyopathy is a critical differential diagnosis for acute myocardial infarction in patients presenting with acute chest pain and ST-segment elevation.
Supports Takotsubo cardiomyopathy in STEMI differentials with normal coronaries; hypothesis-generating and should not change practice.
Takotsubo cardiomyopathy (TC) is defined as the weakening of the left ventricle. It occurs exclusively in women, and it accounts for 1–2% of all cases of suspected acute myocardial infarction, its true prevalence is unknown due to underdiagnosis. It may present with a similar clinical picture mimicking acute myocardial infarction. We report the case of a 53-year-old woman who came to the emergency department with complaints of recurrent vomiting and decreased oral intake. After sometimes, the patient started complaining of chest pain, for which electrocardiography was done, which showed ST-segment elevation. Coronary angiography was done, which showed normal coronary arteries. Afterward, a stressor precipitant was identified. The patient was diagnosed with TC. TC is a great mimic of acute myocardial infarction due to its close resemblance to myocardial infarction in terms of clinical presentation and clinical course. It should be considered as one of the important differentials in patients presenting with acute chest pain.
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Sharma et al. (2020) conducted a case report in Takotsubo cardiomyopathy (n=1). Supportive care (fluid resuscitation, inotropic and vasopressor support, mechanical ventilation) was evaluated on Clinical recovery and discharge. A 53-year-old woman with metastatic colon cancer and acute stress presented with symptoms mimicking acute myocardial infarction and was successfully diagnosed and managed for takotsubo cardiomyopathy.
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