• Heart Lung · Sep 2013

    Case Reports

    Diffuse ST-elevation following J-wave presentation as an uncommon electrocardiogram pattern of Tako-Tsubo cardiomyopathy.

    • Francesco Santoro, Riccardo Ieva, Armando Ferraretti, Luisa De Gennaro, Lodispoto Michele, Matteo Di Biase, and Natale Daniele Brunetti.
    • Department of Cardiology, University of Foggia, Foggia, Italy.
    • Heart Lung. 2013 Sep 1; 42 (5): 375-8.

    BackgroundTako-Tsubo cardiomyopathy (TTC) is characterized by symptoms, ECG changes with elevated cardiac markers mimicking acute myocardial infarction, left ventricular (LV) wall motion abnormalities in the apical region with preserved function of base, and normal coronary arteries. Usual ECG anomalies heralding TTC are ST-elevation in anterior leads, QT prolongation and negative T-waves.MethodsWe report the unusual case of TTC with an uncommon ECG presentation: J wave in inferior leads followed by diffuse ST-elevation.ResultsAn 82-year-old woman was admitted for dyspnea and chest pain following exacerbation of chronic obstructive pulmonary disease. ECG showed J-wave in inferior leads followed by diffuse ST-elevation. The patient was monitored in intensive care unit and treated with diuretics. Both ECG and echocardiography anomalies gradually recovered.ConclusionsDiffuse ST-elevation following J-waves may be considered as a possible ECG pattern of presentation in case of TTC.Copyright © 2013 Elsevier Inc. All rights reserved.

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