Case Report

Description of a patient suspected of myocardial infarction with normal coronary artery: A case report of Takotsubo Cardiomyopathy


Takotsubo Cardiomyopathy (TC) is transient systolic dysfunction localized with electrocardiographic (ECG) changes, and it mimics acute coronary syndrome (ACS). Studies have shown that 95% of the patients have changes in ECG. ECG changes in TC syndrome may be similar to MI. ECG changes can be seen in the form of ST-segment elevation or deep T-wave inversion. TC can be considered a special form of ACS. TC is not a benign entity and conduction abnormalities can occur. The acute phase can be predicted based on decreased EF and the incidence of arrhythmia. A different treatment is used in the acute phase of TC, depending on the hemodynamic condition. Our case illustrates the importance of symptoms such as stress and emotions, age and female gender, clinical manifestations, ECG characteristics, and echocardiography. This paper describes a case of TC from a hospital affiliated to Rafsanjan University of Medical Sciences. The case was a 75-year-old woman with no history of cardiovascular diseases, who has been admitted to the hospital with myocardial infarction.

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IssueVol 61 No 5 (2023) QRcode
SectionCase Report(s)
Takotsubo cardiomyopathy Acute coronary syndrome Myocardial infarction

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How to Cite
Mohammadi V, Zakeri MA, Zakeri M, Ehsani V. Description of a patient suspected of myocardial infarction with normal coronary artery: A case report of Takotsubo Cardiomyopathy. Acta Med Iran. 2023;61(5):305-310.