February 2019 Br J Cardiol 2019;26:38–40 doi:10.5837/bjc.2019.011
Anthony Brennan, Heath Adams, John Galligan, Robert Whitbourn
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.
July 2009 Br J Cardiol 2009;16:197–8
Jerzy Wojciuk, Ravish Katira, Ranjit S More, Roger W Bury
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