Takotsubo Syndrome Associated with ST Elevation Myocardial Infarction
Background. Takotsubo syndrome is a reversible heart failure syndrome which often presents with symptoms and ECG changes that mimic an acute myocardial infarction. Obstructive coronary artery disease has traditionally been seen as exclusion criteria for the diagnosis of takotsubo; however, recent re...
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| Format: | Article |
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Wiley
2019-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2019/1010243 |
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| _version_ | 1832558749828513792 |
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| author | Saad Ezad Michael McGee Andrew J. Boyle |
| author_facet | Saad Ezad Michael McGee Andrew J. Boyle |
| author_sort | Saad Ezad |
| collection | DOAJ |
| description | Background. Takotsubo syndrome is a reversible heart failure syndrome which often presents with symptoms and ECG changes that mimic an acute myocardial infarction. Obstructive coronary artery disease has traditionally been seen as exclusion criteria for the diagnosis of takotsubo; however, recent reports have called this into question and suggest that the two conditions may coexist. Case Summary. We describe a case of an 83-year-old male presenting with chest pain consistent with acute myocardial infarction. The ECG demonstrated anterior ST elevation with bedside echocardiography showing apical wall motion abnormalities. Cardiac catheterisation found an occluded OM2 branch of the left circumflex artery with ventriculography confirming apical ballooning consistent with takotsubo and not in the vascular territory supplied by the occluded epicardial vessel. Repeat echocardiogram 6 weeks later confirmed resolution of the apical wall motion abnormalities consistent with a diagnosis of takotsubo. Discussion. This case demonstrates the finding of takotsubo syndrome in a male patient with acute myocardial infarction. Traditionally, this would preclude a diagnosis of takotsubo; however, following previous reports of takotsubo in association with coronary artery dissection and acute myocardial infarction in female patients, new diagnostic criteria have been proposed which allow the diagnosis of takotsubo in the presence of obstructive coronary artery disease. This case adds to the growing body of literature that suggests takotsubo can coexist with acute myocardial infarction; however, it remains to be elucidated if it is a consequence or cause of myocardial infarction. |
| format | Article |
| id | doaj-art-b2087d197f7342cfa5236567e4a7b5cd |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-b2087d197f7342cfa5236567e4a7b5cd2025-02-03T01:31:42ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/10102431010243Takotsubo Syndrome Associated with ST Elevation Myocardial InfarctionSaad Ezad0Michael McGee1Andrew J. Boyle2John Hunter Hospital, Hunter New England Health, Newcastle, NSW, AustraliaJohn Hunter Hospital, Hunter New England Health, Newcastle, NSW, AustraliaJohn Hunter Hospital, Hunter New England Health, Newcastle, NSW, AustraliaBackground. Takotsubo syndrome is a reversible heart failure syndrome which often presents with symptoms and ECG changes that mimic an acute myocardial infarction. Obstructive coronary artery disease has traditionally been seen as exclusion criteria for the diagnosis of takotsubo; however, recent reports have called this into question and suggest that the two conditions may coexist. Case Summary. We describe a case of an 83-year-old male presenting with chest pain consistent with acute myocardial infarction. The ECG demonstrated anterior ST elevation with bedside echocardiography showing apical wall motion abnormalities. Cardiac catheterisation found an occluded OM2 branch of the left circumflex artery with ventriculography confirming apical ballooning consistent with takotsubo and not in the vascular territory supplied by the occluded epicardial vessel. Repeat echocardiogram 6 weeks later confirmed resolution of the apical wall motion abnormalities consistent with a diagnosis of takotsubo. Discussion. This case demonstrates the finding of takotsubo syndrome in a male patient with acute myocardial infarction. Traditionally, this would preclude a diagnosis of takotsubo; however, following previous reports of takotsubo in association with coronary artery dissection and acute myocardial infarction in female patients, new diagnostic criteria have been proposed which allow the diagnosis of takotsubo in the presence of obstructive coronary artery disease. This case adds to the growing body of literature that suggests takotsubo can coexist with acute myocardial infarction; however, it remains to be elucidated if it is a consequence or cause of myocardial infarction.http://dx.doi.org/10.1155/2019/1010243 |
| spellingShingle | Saad Ezad Michael McGee Andrew J. Boyle Takotsubo Syndrome Associated with ST Elevation Myocardial Infarction Case Reports in Cardiology |
| title | Takotsubo Syndrome Associated with ST Elevation Myocardial Infarction |
| title_full | Takotsubo Syndrome Associated with ST Elevation Myocardial Infarction |
| title_fullStr | Takotsubo Syndrome Associated with ST Elevation Myocardial Infarction |
| title_full_unstemmed | Takotsubo Syndrome Associated with ST Elevation Myocardial Infarction |
| title_short | Takotsubo Syndrome Associated with ST Elevation Myocardial Infarction |
| title_sort | takotsubo syndrome associated with st elevation myocardial infarction |
| url | http://dx.doi.org/10.1155/2019/1010243 |
| work_keys_str_mv | AT saadezad takotsubosyndromeassociatedwithstelevationmyocardialinfarction AT michaelmcgee takotsubosyndromeassociatedwithstelevationmyocardialinfarction AT andrewjboyle takotsubosyndromeassociatedwithstelevationmyocardialinfarction |