Abstract
Takotsubo cardiomyopathy in an old man with multiple cardiovascular risk factors and chronic anxiety
Highlights
Acute coronary syndromes (ACS) are frequently encountered in emergency departments (ED) and sometimes differential diagnosis might be challenging [1]
We describe an uncommon case of an elderly male patient with multiple risk factors for coronary artery disease and chronic anxiety who was hospitalized with a diagnosis of STsegment elevation acute myocardial infarction (STEMI)
The patient was diagnosed as Takotsubo cardiomyopathy (TC) after coronary angiography and follow up echocardiography
Summary
Acute coronary syndromes (ACS) are frequently encountered in emergency departments (ED) and sometimes differential diagnosis might be challenging [1]. We describe an uncommon case of an elderly male patient with multiple risk factors for coronary artery disease and chronic anxiety who was hospitalized with a diagnosis of STsegment elevation acute myocardial infarction (STEMI). The initial diagnosis was anterior acute ST-segment elevation myocardial infarction (STEMI). He was treated with aspirin and ticagrelor and was immediately referred to cardiac catheterization unit for primary angioplasty. Repeated TTE performed on 4th day, revealed normalized left ventricular systolic function (EF of 62%) without any wall motion abnormality (Figure 4). He was discharged at home with routine appointment, remaining asymptomatic in sixth month follow up
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