Abstract
A 76-year-old woman presented to the hospital with acute chest pain. The ECG showed ST-segment elevation in the precordial leads and echocardiography revealed extensive midventricular and apical akinesis. The serum concentration of creatinine kinase MB was slightly elevated at 38IU/L. Emergent cardiac catheterization confirmed the absence of obstructive coronary disease and typical takotsubo-like wall motion abnormalities. Cardiac magnetic resonance imaging (MRI) on day 2 showed wall motion abnormalities on cine imaging (Fig. 1a), myocardial edema on T2-weighted imaging (Fig. 1b), and hyperenhancement on contrast-enhanced (CE) imaging early (2min) after gadolinium administration (Fig. 1c) in the midventricular and apical regions, in which the abnormal regions were approximately similar among different types of imaging.
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