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| {{Case
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| |Title = Takotsubo
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| |CasePresentation = Mimicking myocardial infarction by a stress cardiomyopathy
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| An 81-year-old woman with no cardiac history presented with acute chestpain which radiated to the left arm. The blood pressure was 140/80 mmHg and a heart rate of110/min. Physical examination revealed no abnormalities. The electrocardiogram was compatible with acute anterior myocardial infarction. (A) Immediate coronary angiography showed normal coronary arteries (B and C). A left ventricular (LV) angiogram revealed a Tako-tsubo-like cardiomyopathy, recognized by a hypercontractile base and a bulging out of the LV-apex at systole (D), which normalizes at diastole (E). This typical LV-angiogram resembles a local octopus trap in Japan , where this cardiomyopathy was first described. Although clinical presentation can be quite severe, prognosis is usually good with complete LV recovery. It occurs commonly in post-menopausal woman, usually provoked after extreme emotional stress. In a second interview, the patient told she had a severe emotional experience at a parking lot that morning, after which she developed chestpain.
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| |Courtesy = Courtesy of M. Meuwissen, MD, PhD, AMC, The Netherlands
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| |filepointer1=<flash>file=MM0097.swf|quality=best|align=center|width=300|height=300</flash>
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| |file_name1=MM0097
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| |descriptionfile1=Takotsubo_LCA
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| |filepointer2=<flash>file=MM0098.swf|quality=best|align=center|width=300|height=300</flash>
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| |file_name2=MM0098
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| |descriptionfile2=Takotsubo_LVangio
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| |filepointer3=<flash>file=MM0099.swf|quality=best|align=center|width=300|height=300</flash>
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| |file_name3=MM0099
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| |descriptionfile3=Takotsubo_RCA
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| |filepointer4=[[Image:MM0100.jpg|300px]]
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| |file_name4=MM0100
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| |descriptionfile4=Electrocardiogram (A)
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| |filepointer5=[[Image:MM0101.jpg|300px]]
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| |file_name5=MM0101
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| |descriptionfile5=Electrocardiogram (B)
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| |filepointer6=[[Image:MM0102.jpg|300px]]
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| |file_name6=MM0102
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| |descriptionfile6=Electrocardiogram (C)
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| |filepointer7=[[Image:MM0103.jpg|300px]]
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| |file_name7=MM0103
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| |descriptionfile7=Coronary Arteries (B) and (C)
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| |filepointer8=[[Image:MM0104.jpg|300px]]
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| |file_name8=MM0104
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| |descriptionfile8=Coronary Arteries (D)
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| |filepointer9=[[Image:MM0105.jpg|300px]]
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| |file_name9=MM0105
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| |descriptionfile8=Left Ventricular Angiogram (D) and (E)
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| }}
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