A Case of Myocardial Infarction with Takotsubo Cardiomyopathy and Myocardial Bridging
Author Information
Author(s): Muacevic Alexander, Adler John R, Salman Justin, Azimi Ariella, Al Ansari Shehab, Honan Kevin, Arain Salman A
Primary Institution: University of Texas Health Science Center at Houston
Hypothesis
What are the non-acute coronary syndrome causes of ST-elevation myocardial infarction in a patient presenting with acute chest pain?
Conclusion
The patient was found to have significant left anterior descending artery disease, but also had myocardial bridging and takotsubo cardiomyopathy, complicating the diagnosis.
Supporting Evidence
- The patient presented with acute chest pain and was initially diagnosed with STEMI.
- Post-PCI echocardiogram showed reduced left ventricular ejection fraction consistent with takotsubo cardiomyopathy.
- Cardiac MRI demonstrated late gadolinium enhancement suggestive of myocardial ischemia.
Takeaway
A man had chest pain and was thought to have a heart attack, but doctors found other issues that made it tricky to figure out what was really wrong.
Methodology
Case report detailing the patient's presentation, diagnostic workup, and treatment.
Limitations
The case report is based on a single patient, limiting generalizability.
Participant Demographics
52-year-old Hispanic male with no known past medical history.
Digital Object Identifier (DOI)
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