Document Detail

Reversible stress cardiomyopathy presenting as acute coronary syndrome with elevated troponin in the absence of regional wall motion abnormalities: a forme fruste of stress cardiomyopathy?
MedLine Citation:
PMID:  24976829     Owner:  NLM     Status:  PubMed-not-MEDLINE    
We present a case of reversible stress cardiomyopathy in a surgical patient, described here as a forme fruste due to its atypical features. It is important to recognize such unusual presentation of stress cardiomyopathy that mimics acute coronary syndrome. Stress cardiomyopathy commonly presents as acute coronary syndrome and is characterized by typical or atypical variants of regional wall motion abnormalities. We report a 60-year-old Caucasian male with reversible stress cardiomyopathy following a sternal fracture fixation. Although the patient had several typical features of stress cardiomyopathy including physical stress, ST-segment elevation, elevated cardiac biomarkers and normal epicardial coronaries, there were few features that were atypical, including unusual age, gender, absence of regional wall motion abnormalities, high lateral ST elevation, and high troponin-ejection fraction product. In conclusion, this could represent a forme fruste of stress cardiomyopathy.
Mahesh Anantha Narayanan; Vimalkumar Veerappan Kandasamy; Satish Chandraprakasam; Aryan Mooss
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Publication Detail:
Type:  Journal Article     Date:  2014-05-26
Journal Detail:
Title:  Case reports in medicine     Volume:  2014     ISSN:  1687-9627     ISO Abbreviation:  Case Rep Med     Publication Date:  2014  
Date Detail:
Created Date:  2014-06-30     Completed Date:  2014-06-30     Revised Date:  2014-07-16    
Medline Journal Info:
Nlm Unique ID:  101512910     Medline TA:  Case Rep Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  796202     Citation Subset:  -    
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