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July 2009 Br J Cardiol 2009;16:197–8

An unusual ‘heart attack’ – Takotsubo cardiomyopathy

Jerzy Wojciuk, Ravish Katira, Ranjit S More, Roger W Bury

Abstract

Case report A 59-year-old woman was admitted with symptoms and signs suggesting acute coronary syndrome. A 12-lead electrocardiogram (ECG) demonstrated ST segment elevation in leads V2-V6, I, II and aVL consistent with ST segment elevation myocardial infarction. She underwent emergency coronary angiography, which demonstrated only minor irregularities in coronaries. Chest pain resolved completely after four hours. Figure 1b. Transthoracic echocardiography during the initial admission (apical four-chamber view, diastole) Figure 1a. Transthoracic echocardiography during the initial admission (apical four-chamber view, systole) demonstrating ba

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