• Iliana S Hurtado Rendón, Diego Alcivar, Juan Pablo Rodriguez-Escudero, and Kevin Silver.
• Department of Cardiology, Summa Cardiovascular Institute, Summa Health, Akron, Ohio.
• Am. J. Med. 2018 Feb 1; 131 (2): 202-205.

BackgroundStress cardiomyopathy is a transient cardiac syndrome characterized by reversible left ventricular systolic dysfunction precipitated by emotional or physiologic stress. The presence of obstructive coronary artery disease has been noted in stress cardiomyopathy.MethodsWe describe 3 case reports of patients with acute coronary syndrome and transient wall motion abnormalities not usually seen in the distribution of coronary artery disease.ResultsIn these 3 cases of acute myocardial infarction, the distribution of the culprit coronary occlusion was not concordant with the territory of transient wall motion abnormality. Follow-up demonstrated resolution of the wall motion abnormalities without intervention in these territories.ConclusionWe believe that the physiologic stress of the acute coronary syndrome may have precipitated the stress cardiomyopathy as presented by these patients. This is the first demonstration that stress cardiomyopathy may be precipitated by acute coronary syndrome.Copyright © 2018 Elsevier Inc. All rights reserved.

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