Abstract | BACKGROUND: CASE SUMMARY: A 57-year-old woman was acutely admitted to the emergency ward with sudden development of chest discomfort, palpitations, and dyspnoea. At hospitalization, the electrocardiography showed T-wave inversions in I, aVL, and V2, and Troponin I was elevated. Initial echocardiography revealed apical akinesia consistent with takotsubo cardiomyopathy. Initially, a diagnosis of acute coronary syndrome or takotsubo cardiomyopathy was suspected. The patient was further diagnostically assessed with CAG including optical coherence tomography which showed spontaneous coronary artery dissection in the left anterior descending artery. At follow-up 3 months later, CAG showed a fully healed coronary artery, and repeated echocardiography showed normalization of the left ventricular function. DISCUSSION:
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Authors | Kåre Peter Frederiksen, Helle Søholm, Ole Havndrup, Kristina Procida |
Journal | European heart journal. Case reports
(Eur Heart J Case Rep)
Vol. 4
Issue 5
Pg. 1-6
(Oct 2020)
ISSN: 2514-2119 [Electronic] England |
PMID | 33204956
(Publication Type: Case Reports)
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Copyright | © The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology. |