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An Early Holiday Surprise: Cholecystitis Wrapped in Takotsubo Cardiomyopathy
Kevin Gould1, Stephen Miller1, Joel Moll1
1Virginia Commonwealth University, Department of Emergency Medicine, Richmond, Virginia.
Abstract:
This is a novel case report of a 44-year-old woman who presented to the emergency department with epigastric pain wrapping around to her back. She had no risk factors for cardiac disease, but her initial electrocardiogram (ECG) showed a Wellens syndrome pattern and she was taken urgently to the catheterization lab. After a negative catheterization, she underwent cardiac magnetic resonance imaging, which was positive for Takotsubo cardiomyopathy (TC). Ultimately, abdominal computed tomography revealed that she had cholecystitis, which likely was the cause of her TC and ECG changes.
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