• Med Klin · Sep 2008

    Case Reports

    [Coincidence of coronary artery disease and takotsubo cardiomyopathy in a 72-year-old female patient].

    • Dirk Bandorski, Olaf Braun, Wilfried Kramer, and Martin Brück.
    • Medizinische Klinik 1, Klinikum Wetzlar, Forsthausstrasse 1, Wetzlar, Germany. dirk.bandorski@t-online.de
    • Med Klin. 2008 Sep 15; 103 (9): 665-9.

    BackgroundTakotsubo cardiomyopathy is characterized by transient left ventricular dysfunction in patients with normal findings on coronary angiography. The simultaneous incidence of coronary vessel disease and takotsubo cardiomyopathy is described.Case ReportA 72-year-old, previously healthy female patient reported about chest pain. Acute emotional and physical stress were denied. Cardiac enzymes and electrocardiogram presented typical findings of myocardial infarction. Coronary angiography revealed a coronary one-vessel disease with occlusion of the second branch of the circumflex branch of the left coronary artery which did not explain the severe reduction of left ventricular function. After 4 months, left ventricular function and electrocardiogram had returned to normal.ConclusionCoronary artery disease does not rule out takotsubo cardiomyopathy.

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