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Tag Archives: coronary vasospasm

February 2019 Br J Cardiol 2019;26:38–40 doi:10.5837/bjc.2019.011

Coronary vasospasm and concurrent Takotsubo cardiomyopathy

Anthony Brennan, Heath Adams, John Galligan, Robert Whitbourn

Abstract

Introduction Takotsubo cardiomyopathy (TTC) is characterised by a transient left ventricular dysfunction, which is classically accompanied by left ventricular apical ballooning and akinesis.1,2 The condition predominantly affects post-menopausal women and involves a neuro-cardiac action often triggered by an emotional or physical stressor.2 While the pathophysiology is not completely understood, postulated mechanisms include catecholamine excess,3 and microvascular dysfunction.4 Case A previously well 71-year-old woman was admitted to hospital via ambulance with sudden-onset angina radiating to the left shoulder and jaw, along with dyspnoea.

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