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Rev Port Cardiol. 2015 Jul-Aug;34(7):499.e1-3. doi: 10.1016/j.repc.2015.01.007. Epub 2015 Jul 09.

A rare case of concomitant stress (takotsubo) cardiomyopathy and acute myocardial infarction.

Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology

[Article in Portuguese]
Miguel Nobre Menezes, Doroteia Silva, Ana G Almeida, Fausto J Pinto, Dulce Brito

Affiliations

  1. Departamento de Cardiologia, Hospital Santa Maria, Centro Hospitalar de Lisboa Norte, CCUL, Universidade de Lisboa, Lisboa, Portugal. Electronic address: [email protected].
  2. Departamento de Cardiologia, Hospital Santa Maria, Centro Hospitalar de Lisboa Norte, CCUL, Universidade de Lisboa, Lisboa, Portugal.

PMID: 26164278 DOI: 10.1016/j.repc.2015.01.007

Abstract

Stress cardiomyopathy and myocardial infarction are generally regarded as mutually exclusive diagnoses. We report the case of a 54-year-old woman who presented with acute chest pain. Her echocardiogram and ventriculography were typical of stress cardiomyopathy, but she had one subocclusive coronary lesion, a highly significant rise in troponin and a subendocardial myocardial infarction scar documented on cardiac magnetic resonance. This is a rare case of concomitant myocardial infarction and stress cardiomyopathy, in which the acute coronary syndrome itself may have been the stressor, given the absence of other identifiable causes.

Copyright © 2014 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

Keywords: Acute myocardial infarction; Cardiac magnetic resonance; Cardiomiopatia de stress; Enfarte agudo do miocárdio; Ressonância magnética cardíaca; Stress cardiomyopathy; Síndrome Takotsubo; Takotsubo syndrome

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