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Case report
Case report of a 66-year-old woman with atypical takotsubo syndrome and concomitant coronary artery disease
  1. David Niederseer,
  2. Jelena Rima Ghadri,
  3. Robert Manka and
  4. Christian Templin
  1. Department of Cardiology, University Hospital Zurich, Zurich, Switzerland
  1. Correspondence to Dr David Niederseer; david.niederseer{at}


Takotsubo syndrome is increasingly recognised worldwide. As both, takotsubo syndrome and acute myocardial infarction can present with similar findings, including chest pain, elevated troponin and creatine kinase, it is often difficult to differentiate these conditions. Here, we present a challenging case that illustrates (1) difficulties to diagnose takotsubo syndrome in the presence of a significant coronary artery stenosis; (2) how takotsubo syndrome could be misdiagnosed as acute coronary syndrome if diagnostic workup does not include echocardiography or left ventriculography; (3) the importance of cardiac MRI which can contribute to the diagnosis of takotsubo syndrome.

  • cardiovascular medicine
  • interventional cardiology
  • emergency medicine
  • resuscitation
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  • Contributors DN helped in the conception and design of case report, initial treatment of patient and drafting the article. JG helped in revising it critically for important intellectual content. RM performed the initial treatment of the patient, revising it critically for important intellectual content. CT helped in conception and design of case report and drafting the article. All authors agreed to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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