Spontaneous CAD masquerading as Takotsubo cardiomyopathy
For many such individuals, presentation of Takotsubo cardiomyopathy frequently mimics presentation of MI, though spontaneous coronary artery dissection (SCAD) is an increasingly recognized aetiology of MI in women.

This case report, published in the European Heart Journal Case Reports describes a woman with chest pain, found to have non-obstructive CAD on angiogram and left ventricular apical dysfunction on echocardiogram raising suspicion for Takotsubo cardiomyopathy.

Additional suspicion for SCAD led to coronary CT angiogram (CCTA) which ultimately confirmed this diagnosis.

Learning Points:-
• This case emphasizes the clinical features that should raise suspicion for SCAD when Takotsubo is presumed and outlines the clinical utility of CCTA in making this diagnosis when angiography is unrevealing.

• For patients presenting with myocardial infarction with non-obstructive coronary arteries (MINOCA), segmental wall motion abnormalities on echocardiogram should raise suspicion for spontaneous coronary artery dissection (SCAD) over Takotsubo cardiomyopathy.

• When SCAD is suspected and coronary angiography is unrevealing, coronary CT angiogram is able to non-invasively characterize vessel caliber and structure and can uniquely confirm the presence of SCAD.

Read in detail about the case here: https://pxmd.co/Pvr2t
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