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Takotsubo cardiomyopathy- a disease in disguise
Author(s):
1. Nauman Khan: Department of Cardiology, Tabba Heart Institute, Karachi , Pakistan
2. Abdul Ghani Iqbal: Dow Medical College, Karachi ,Pakistan
3. Abdul Wasay Khan: Dow Medical College, Karachi ,Pakistan
4. Aneeqa Abdul Rehman: Dow Medical College, Karachi ,Pakistan
Abstract:
We are reporting a case of 75-year-old woman, who presented in E.R of Tabba Heart Institute, with complains of acute chest pain and shortness of breath. Initially patient was diagnosed and treated as acute coronary syndrome. Coronary angiography showed minimal atherosclerosis in epicardial arteries. Left ventriculogram showed apical ballooning with hyper contractile basal segments. Cardiac enzymes were elevated. Echocardiography revealed similar findings suggestive of Takotsubo cardiomyopathy (TCMP). She was managed medically and was discharged home in stable condition. At four months followup she was asymptomatic with normalization of ECG and ECHO findings. Takotsubo Cardiomyopathy should be considered in the differential diagnosis along with acute coronary syndrome in postmenopausal patients presenting with angina with or without stress or ECG changes and positive cardiac enzymes.
Page(s): 253-256
DOI: DOI not available
Published: Journal: Pakistan Heart Journal, Volume: 50, Issue: 4, Year: 2017
Keywords:
Anterior wall myocardial infarction , Takotsubo cardiomyopathy , Postmenopausal women , Left ventriculogram
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