Apical ballooning (takotsubo) syndrome with concurrent ST-segment elevation myocardial infarction.
BMJ Case Rep
; 20172017 Jul 24.
Article
en En
| MEDLINE
| ID: mdl-28739614
ABSTRACT
We present the case of a 61-year-old woman admitted with chest pain and an ECG demonstrating ST-segment elevation in the lateral leads. Emergency coronary angiography demonstrated an occluded obtuse marginal branch. Percutaneous intervention was unsuccessful as the lesion could not be crossed with a wire. Left ventriculography and transthoracic echocardiography demonstrated hypokinesis of the entire apex but preserved contractility of the basal segments, consistent with a diagnosis of apical ballooning syndrome (ABS). Cardiac MRI demonstrated myocardial oedema in all mid to apical segments, with a left ventricular ejection fraction (LVEF) of 38%. Repeat study at 5 months demonstrated an infarct in the distribution of the occluded artery with late gadolinium enhancement, consistent with a diagnosis of a lateral wall myocardial infarction and an improvement in the LVEF to 51%. The case illustrates the novel observation that ABS and acute myocardial infarction may rarely occur simultaneously.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Cardiomiopatía de Takotsubo
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Infarto del Miocardio con Elevación del ST
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Ventrículos Cardíacos
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Miocardio
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Female
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Humans
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Middle aged
Idioma:
En
Revista:
BMJ Case Rep
Año:
2017
Tipo del documento:
Article
País de afiliación:
Reino Unido