Elderly woman presenting with multivessel coronary artery disease and Takotsubo syndrome
| Autor: | Stéphane Cook, Yann Roux, Diego Arroyo, Hari Vivekanantham, Philipp Suter, Martin Scoglio |
|---|---|
| Rok vydání: | 2023 |
| Předmět: |
medicine.medical_specialty
Acute coronary syndrome Coronary Artery Disease 030204 cardiovascular system & hematology Chest pain Coronary Angiography Ventricular Function Left Coronary artery disease 03 medical and health sciences 0302 clinical medicine Takotsubo Cardiomyopathy Internal medicine medicine.artery medicine Humans 030212 general & internal medicine Aged Aged 80 and over Ejection fraction medicine.diagnostic_test business.industry Stroke Volume General Medicine medicine.disease Heart failure Right coronary artery Angiography Cardiology Female medicine.symptom Transthoracic echocardiogram business |
| Zdroj: | BMJ case reports. 14(7) |
| ISSN: | 1757-790X |
| Popis: | Takotsubo syndrome is an acute and often reversible condition, with initial presentation mimicking acute coronary syndrome. Typically, patients present with left ventricular regional wall motion abnormalities, without a corresponding coronary artery obstruction on angiography. Coexistence of a coronary artery disease is possible and may render the distinction between the two entities particularly challenging. We report the case of a 94-year-old woman with chest pain after an emotional upset and acute myocardial injury. Transthoracic echocardiogram (TTE) revealed a severely reduced left ventricular ejection fraction (LVEF) with apical ballooning. Coronary angiogram showed significant stenosis of the distal left main coronary artery and of the mid-left anterior descending artery, as well as a 30%–50% stenosis of the mid-distal right coronary artery. Revascularisation was deferred and antiplatelet as well as heart failure therapy begun. A repeat TTE 6 days later revealed a quasi-normalised LVEF. Ultimately, percutaneous coronary revascularisation of the left main and left anterior descending artery was performed, with favourable outcome at 6-month follow-up. |
| Databáze: | OpenAIRE |
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