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Reminder of important clinical lesson
Political riots in Pakistan and stress-induced cardiomyopathy: a case report


A previously healthy middle-aged lady with no prior risk factors for coronary artery disease presented with chest discomfort and ECG changes suggestive of anterolateral ST elevation myocardial infarction. She had had a stressful event prior to the onset of symptoms in that she had been caught up in a riot and had been exposed to intense mental and physical stress. She was found to have severe global left ventricular dysfunction but coronary artery disease was not discovered on coronary angiography. She was treated with antiplatelets, statins, diuretics and aldosterone antagonists. Her left ventricular function was revealed to have improved to normal as shown on echocardiography done on her follow-up 2 months after initial presentation.

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