A Case of Acute ST-Segment Elevation Myocardial Infarction Mimicking Stress Induced Cardiomyopathy; Demonstration of Typical Echocardiographic Finding Correlated with Unusual Distribution of Left Anterior Descending Coronary Artery.
10.4250/jcu.2010.18.3.101
- Author:
Sung Kyun SHIN
1
;
Seon Ah JIN
;
Yong Kyu PARK
;
Jae Hyeong PARK
Author Information
1. Cardiology Division of Internal Medicine, Cardiocerebrovascular Center, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea. jaehpark@cnuh.co.kr
- Publication Type:Case Report
- Keywords:
Stress-induced cardiomyopathy;
Acute ST-segment elevation myocardial infarction;
Coronary angiography
- MeSH:
Acute Coronary Syndrome;
Cardiomyopathies;
Coronary Angiography;
Coronary Circulation;
Coronary Vessels;
Fatal Outcome;
Humans;
Myocardial Infarction;
Stents
- From:Journal of Cardiovascular Ultrasound
2010;18(3):101-103
- CountryRepublic of Korea
- Language:English
-
Abstract:
Stress-induced cardiomyopathy (SCMP) is diagnosed in 1-2% of patients presenting with symptoms suggestive of acute coronary syndrome. Because of sharing many common clinical features with SCMP, acute ST-segment elevation myocardial infarction (STEMI) can be misdiagnosed as SCMP. However, it can be associated with fatal outcome of the patient. Also, diagnosis of SCMP seems to be always challenging to clinicians, especially in the decision of taking coronary angiography which is still invasive and even risky. Here, we present a case with acute STEMI mimicking SCMP as a result of anatomical variation of coronary circulation. In this patient, prompt and early coronary angiography and stent implantation was very helpful.
