Abstract

A year old-woman with rheumatoid arthritis was admitted to the hospital for evaluation of dyspnoea. CT scan of the chest revealed bilateral pulmonary nodules. Shortly after bronchoscopy with transbronchial biopsy, she developed anxiety, diaphoresis, dyspnoea, and tachycardia. Initial troponin T was elevated. Due to concern for procedural myocardial infarction (MI), aspirin, improvement in LV basal function, consistent with the diagnosis of inverted Takotsubo cardiomyopathy.

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