"Tako-tsubo-like left ventricular dysfunction": a clinical entity mimicking acute myocardial infarction with a favorable prognosis

Am J Geriatr Cardiol. 2004 Nov-Dec;13(6):323-6. doi: 10.1111/j.1076-7460.2004.03676.x.

Abstract

An emotionally-distressed, elderly Caucasian woman presented with chest pain and hypertension. Electrocardiogram showed inferior ST-segment elevation, and an urgent cardiac catheterization was performed. Coronary angiography revealed normal appearing coronary arteries; however, left ventriculography showed extensive left ventricular apical akinesis. The patient had a mild rise in cardiac enzyme levels indicative of myocardial injury. She was discharged after an uncomplicated in-hospital course. One month later, the left ventricular wall motion abnormality had improved. In this report, the authors discuss this compilation of findings known as tako-tsubo-like left ventricular dysfunction.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Coronary Angiography
  • Diagnosis, Differential
  • Electrocardiography
  • Female
  • Humans
  • Myocardial Infarction / diagnosis*
  • Syndrome
  • Ventricular Dysfunction, Left / diagnosis*
  • Ventricular Dysfunction, Left / etiology