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Takotsubo Cardiomyopathy Mimicking Stent Thrombosis After Percutaneous Coronary Intervention

Furqan Khattak1, Muhammad Khalid1, Ghulam Murtaza1

  • 1East Tennessee State University, Quillen College of Medicine, Johnson City, TN, USA.

Journal of Investigative Medicine High Impact Case Reports
|May 16, 2018
PubMed

Insights

Takotsubo cardiomyopathy, or "broken heart syndrome," mimics heart attack symptoms. This case highlights its diagnosis after initial treatment for coronary artery disease, emphasizing its distinct cardiac dysfunction.

Area of Science:

  • Cardiology
  • Cardiovascular Medicine

Background:

  • Takotsubo cardiomyopathy (TTC) is a transient left ventricular dysfunction.
  • It is often triggered by emotional or physical stress.
  • TTC can mimic acute myocardial infarction on electrocardiogram (EKG).

Purpose of the Study:

  • To present a case of Takotsubo cardiomyopathy.
  • To illustrate diagnostic challenges in differentiating TTC from acute coronary syndrome.
  • To highlight the importance of repeat angiography in ambiguous cases.

Main Methods:

  • Case report of a 72-year-old woman.
  • Initial presentation with ST-segment elevation myocardial infarction (STEMI) on EKG.
  • Coronary angiography, percutaneous coronary intervention (PCI), and repeat emergent angiography.

Main Results:

  • Initial angiography revealed coronary artery disease requiring PCI.
  • Post-PCI, EKG changes resolved.
  • Recurrent symptoms led to repeat angiography, showing patent stents and findings consistent with Takotsubo cardiomyopathy.

Conclusions:

  • Takotsubo cardiomyopathy can present atypically, mimicking stent thrombosis.
  • Coronary angiography is crucial for ruling out obstructive coronary artery disease and diagnosing TTC.
  • Careful clinical evaluation and repeat angiography are vital for accurate diagnosis in complex cases.

Keywords:
apical ballooningleft ventricle apex akinesiamyocardial infarctiontakotsubo cardiomyopathy

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