Document Detail

One heart, two cardiomyopathies.
MedLine Citation:
PMID:  22675145     Owner:  NLM     Status:  In-Data-Review    
A 63-year-old woman with no previous medical problems presented with acute chest pain and an ECG consistent with an acute anterior myocardial infarction. At emergency angiography, she was found to have smooth unobstructed coronary arteries. On invasive left ventriculography, overall poor systolic function was noted with apical hypokinesis and basal hyperkinesis, consistent with Tako-tsubo phenomenon. Echocardiography demonstrated a hypertrophic left ventricle and left ventricular outflow obstruction due to systolic anterior motion of the mitral valve and moderate mitral regurgitation. Following appropriate management, she was discharged 6 days later. An outpatient MRI confirmed normalisation of the left ventricular systolic function; however, there was still significant left ventricular hypertrophy and dynamic obstruction. Although most patients presenting with chest pain and an ECG with ST elevation will have an acute coronary event, our patient had normal coronaries but both Tako-tsubo and hypertrophic cardiomyopathies.
Vassilis Vassiliou; Bobby Agrawal; Alisdair Ryding
Related Documents :
21686525 - Coronary thrombosis: in vivo, ex vivo and in vitro.
16635995 - Upgrade to biventricular pacing in patients with pacing-induced heart failure: can resy...
21826515 - Acute left ventricular failure in a patient with hydroxychloroquine-induced cardiomyopa...
21977305 - Single coronary artery from the right sinus of valsalva.
6132485 - Ploidy in the hearts of elderly patients.
24092465 - A porcine model for acute ischaemic right ventricular dysfunction.
Publication Detail:
Type:  Journal Article     Date:  2012-06-05
Journal Detail:
Title:  BMJ case reports     Volume:  2012     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2012  
Date Detail:
Created Date:  2012-06-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Department of Cardiology, Papworth Hospital, Cambridge, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Gastric GIST with synchronous neuroendocrine tumour of the pancreas in a patient without neurofibrom...
Next Document:  Frontal sinus mucoceles presenting in the upper eyelid: an easily missed diagnosis.