Takotsubo cardiomyopathy (TC), or apical ballooning syndrome (ABS), is becoming an increasingly recognised entity. Usually preceded by emotional stress, it is characterised by chest pain associated with ST-segment elevation on the 12-lead electrocardiogram (ECG), elevated cardiac biomarkers, and reversible left ventricular (LV) apical hypokinesia, making it an important differential diagnosis for ST-segment elevation myocardial infarction (STEMI). We present a typical case of TC initially misdiagnosed and treated as a STEMI, fortunately with no adverse consequences.
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References
- Sato H, Tateishi H, Uschida T, et al. Takotsubo-type cardiomyopathy due to multi-vessel spasm. In: Kodama K, Hon M, eds. Clinical Aspects of Myocardial Injury: From Ischemia to Heart Failure. TakotsuboType Cardiomyopathy Due to Multi-Vessel Spasm. Tokyo, Japan: Kagakuhyouronsya Publishing Co.; 1990: 56–64.
- Prasad A, Lerman A, Rihal C. Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): A mimic of acute myocardial infarction. Am Heart J 2008; 155: 408–17.
- Wittstein IS, Thiemannv DR, Lima JA, et al. Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med 2005; 352: 539–48.
- Nef HM, Möllmann H, Elsässer A. Tako-tsubo cardiomyopathy (apical ballooning). Heart 2007; 93: 1309–1315
- Dhar S, Deepak K, Subramanian S, et al. Transient apical ballooning. Sheep in wolves’ garb. Cardiology in Review 2007; 15: 150 –153.
- Bybee KA, Prasad A. Stress-related cardiomyopathy syndromes. Circulation 2008; 118: 397–409.
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