Article Text
Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
Case report
Case report of a 66-year-old woman with atypical takotsubo syndrome and concomitant coronary artery disease
Abstract
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