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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

Diffuse ST-elevation following J-wave presentation as an uncommon electrocardiogram pattern of Tako-Tsubo

Francesco Santoro1, Riccardo Ieva, Armando Ferraretti

  • 1Department of Cardiology, University of Foggia, Foggia, Italy.

Heart & Lung : the Journal of Critical Care
|July 2, 2013
PubMed

Insights

Tako-Tsubo cardiomyopathy (TTC) can present with unusual ECG findings, including J-waves and diffuse ST-elevation. This case highlights a rare presentation of TTC, aiding in diagnosis and management.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Tako-Tsubo cardiomyopathy (TTC) mimics acute myocardial infarction with distinct ECG changes, elevated cardiac markers, and apical left ventricular dysfunction.
  • Typical ECG findings include anterior ST-elevation, QT prolongation, and T-wave inversion.

Observation:

  • An 82-year-old woman presented with dyspnea and chest pain, initially attributed to COPD exacerbation.
  • Electrocardiogram (ECG) revealed an uncommon pattern: J-waves in inferior leads followed by diffuse ST-elevation.

Findings:

  • The patient's ECG and echocardiographic abnormalities showed gradual recovery with conservative management, including diuretics.
  • This case demonstrates an unusual ECG presentation of TTC.

Implications:

  • Diffuse ST-elevation following J-waves should be considered a potential diagnostic pattern for Tako-Tsubo cardiomyopathy.
  • Recognizing rare ECG manifestations is crucial for accurate TTC diagnosis and timely treatment.
Abstract

Keywords:
Chronic obstructive pulmonary diseaseDiffuse ST-elevationElectrocardiogramJ-waveTako-Tsubo cardiomyopathy

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