Takotsubo Cardiomyopathy “Variations on a Theme”
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Case 1 —
A 48-year-old, premenopausal female without previous medical history presented with sudden chest pain and palpitations. On the day of the presentation, she encountered no significant physical or emotional stress. The EKG on admission showed atrial fibrillation with rapid ventricular response and ST elevation in V2–V6. Patient was referred for primary PCI. However, no occlusive coronary artery disease was present. Left ventriculography showed apical akinesia with apical ballooning . Echocardiography was not performed in the acute phase. Laboratory analysis showed not only a maximal Troponin T (TNT) of 0.06??mol/L, but also signs of hyperthyroidism with a fT4 of 82??mol/L with a suppression of thyroid-stimulating hormone. The patient was treated with ACEinhibitors, coumadines, and beta-blockade as well as with strumazol. On followup both LV-function (2 weeks) and thyroid function were normalized, and she regained sinus rhythm spontaneously.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4007749/
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