心血管疾患と診断

A Case of Typical Chest Pain: Takotsubo Cardiomyopathy Following Rhabdomyolysis

Abstract

Ramyashree Tummala, Sravani Kamatam, Keyvan Ravakhah, Anjan Gupta, Rajesh Sonani, and Samir Patel

Takotsubo cardiomyopathy (TCM) is a reversible disorder characterized by left ventricular wall apical ballooning precipitated by stressful event. Clinical presentation of this disorder mimics acute coronary syndrome (ACS). We are presenting a case of TCM, which is unique as rhabdomyolysis being the triggering factor. Although, our patient presented with features of NSTEMI on EKG and elevated troponins, diagnosis of TCM was made by echocardiography which showed left ventricular apical wall hypokinesis with Left ventriculogram showing the apical ballooning. The unique feature of the case was the triggering factor being rhabdomyolysis.