- Author:
Byung Soo JIE
1
;
Sung Ho HER
;
Hee Jeoung YOON
;
Hae Bin JEONG
;
Cheol Hong PARK
;
Jun Han JEON
;
Jae Wuk KWAK
;
Yong Cheol KIM
;
Suok Ju LEE
;
Seung Won JIN
Author Information
- Publication Type:Case Report
- Keywords: ST-segment elevation myocardial infarction; Stress-induced cardiomyopathy
- MeSH: Cardiomyopathies; Chest Pain; Coronary Angiography; Humans; Myocardial Infarction
- From:Journal of Cardiovascular Ultrasound 2008;16(1):29-32
- CountryRepublic of Korea
- Language:English
- Abstract: ST-segment elevation myocardial infarction (STEMI) is a disease decribed by typical chest pain, ST-segment elevation on eletrocardiogram, elevated cardiac enzymes, along with wall motion abnormality under echocardiographic findings, and it is caused by vulnerable plaques. However, stress induced cardiomyopathy (SICM) may show similar clinical symptoms, but specific echocardiographic findings (i.e. transient left ventricular regional wall motion abnormalities with peculiar apical ballooning appearance) and normal coronary angiography may differentiate it from STEMI. Therefore, one may mistake STEMI for SICM, and lead to serious error in diagnosis and treatment of the disease. We report a case of STEMI mimicking SICM, and suggest an idea to approach the patient with SICM.