The Chicken or the Egg? An Interesting Case Presentation of Spontaneous Coronary Artery Dissection Versus Takotsubo Cardiomyopathy

Anjali R Desai; Puja Patel; Raj Patel; Harshavardhan Ghadiam; Ekanka Mukhopadhyay

doi:10.7759/cureus.7793

The Chicken or the Egg? An Interesting Case Presentation of Spontaneous Coronary Artery Dissection Versus Takotsubo Cardiomyopathy

Cureus. 2020 Apr 23;12(4):e7793. doi: 10.7759/cureus.7793.

Authors

Anjali R Desai¹, Puja Patel², Raj Patel³, Harshavardhan Ghadiam³, Ekanka Mukhopadhyay³

Affiliations

¹ Internal Medicine, University of Illinois College of Medicine at Peoria, Peoria, USA.
² Internal Medicine, American University of Antigua, Peoria, USA.
³ Cardiology, University of Illinois College of Medicine at Peoria, Peoria, USA.

Abstract

This is an interesting cardiovascular imaging and coronary angiography case of a 67-year-old female patient who presented with chest pain, abnormal electrocardiogram (EKG), and heart failure who was subsequently found to have spontaneous coronary artery dissection (SCAD) and Takotsubo cardiomyopathy (TCM) on imaging studies. The case presentation highlights the importance of imaging studies and prompt diagnosis in these patients. This study may also highlight the need for early medical intervention in patients with suspected systolic dysfunction due to either of these pathophysiologic processes.

Keywords: cardiac catheterization; cardiology imaging; cardiology research; stress induced cardiomyopathy.

Publication types

Case Reports