PMC3843602_01
Chest x-ray: pulmonary edema.
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Chest x-rays revealed pulmonary edema consistent with severe cardiac failure (Figure 1).
EKG: flipped T waves in anterior and lateral wall.
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T-wave inversion (Figure 2).
Left ventriculography during systole showing apical ballooning.
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T was elevated at 1.21 ug/l (normal range 0-0.014), but other markers of myocardial necrosis were negative. The suspicion of Takotsubo cardiomyopathy was confirmed by left ventriculography, with apical wall motion abnormalities (Figure 3) and a negative coronary angiography (Figures 4 and 5). The next day, an endomyocardial biopsy from the right ventricle was performed, with no evidence of acute myocarditis.
Angiography LCA.
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T was elevated at 1.21 ug/l (normal range 0-0.014), but other markers of myocardial necrosis were negative. The suspicion of Takotsubo cardiomyopathy was confirmed by left ventriculography, with apical wall motion abnormalities (Figure 3) and a negative coronary angiography (Figures 4 and 5). The next day, an endomyocardial biopsy from the right ventricle was performed, with no evidence of acute myocarditis.
Angiography RCA.
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T was elevated at 1.21 ug/l (normal range 0-0.014), but other markers of myocardial necrosis were negative. The suspicion of Takotsubo cardiomyopathy was confirmed by left ventriculography, with apical wall motion abnormalities (Figure 3) and a negative coronary angiography (Figures 4 and 5). The next day, an endomyocardial biopsy from the right ventricle was performed, with no evidence of acute myocarditis.