A Novel Cardiomyopathy Mimicking Acute Myocardial Infarction.
10.4070/kcj.2002.32.7.608
- Author:
Ki yuk CHANG
1
;
Hui Kyung JEON
;
Jang Seong CHAE
;
Sang Hyun IHM
;
Ki Bae SEUNG
;
Ho Joong YOUN
;
Sang Hong BAEK
;
Jae Hyung KIM
;
Soon Jo HONG
;
Kyu Bo CHOI
Author Information
1. Division of Cardiology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Myocardial infarction;
Stress
- MeSH:
Cardiomyopathies*;
Constriction, Pathologic;
Echocardiography;
Electrocardiography;
Heart Ventricles;
Humans;
Myocardial Infarction*;
Pyelonephritis;
Thorax
- From:Korean Circulation Journal
2002;32(7):608-612
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We recently experienced 2 cases of a novel cardiomyopathy following various stressful conditions. Here, we report on this novel cardiomyopathy showing transient left ventricular apical wall motion abnormalities following stress. Our cases exhibited an acute onset, transient left ventricular apical wall motion abnormalities with chest symptoms, electrocardiographic changes and minimal enzyme release, which mimicked acute myocardial infarction without stenosis on the coronary angiograms. The novel cardiomyopathy developed in our patients following aggravation of a systemic disorder (acute pyelonephritis with septicemia) and noncardiac surgery (total hysterectomy). Both our cases exhibited the typical echocardiographic findings of asynergy of the apical region with hypercontraction of the basal segment of the left ventricle, and wall motion abnormalities, which improved rapidly within a few weeks.
