Reversible stress cardiomyopathy presenting as acute coronary syndrome with elevated troponin in the absence of regional wall motion abnormalities

A forme fruste of stress cardiomyopathy?

Mahesh Anantha Narayanan, Vimalkumar Veerappan Kandasamy, Satish Chandraprakasam, Aryan N. Mooss

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We present a case of reversible stress cardiomyopathy in a surgical patient, described here as a forme fruste due to its atypical features. It is important to recognize such unusual presentation of stress cardiomyopathy that mimics acute coronary syndrome. Stress cardiomyopathy commonly presents as acute coronary syndrome and is characterized by typical or atypical variants of regional wall motion abnormalities. We report a 60-year-old Caucasian male with reversible stress cardiomyopathy following a sternal fracture fixation. Although the patient had several typical features of stress cardiomyopathy including physical stress, ST-segment elevation, elevated cardiac biomarkers and normal epicardial coronaries, there were few features that were atypical, including unusual age, gender, absence of regional wall motion abnormalities, high lateral ST elevation, and high troponin-ejection fraction product. In conclusion, this could represent a forme fruste of stress cardiomyopathy.

Original languageEnglish (US)
Article number796202
JournalCase Reports in Medicine
Volume2014
DOIs
StatePublished - 2014

Fingerprint

Takotsubo Cardiomyopathy
Troponin
Acute Coronary Syndrome
Fracture Fixation
Biomarkers

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Reversible stress cardiomyopathy presenting as acute coronary syndrome with elevated troponin in the absence of regional wall motion abnormalities : A forme fruste of stress cardiomyopathy? / Anantha Narayanan, Mahesh; Veerappan Kandasamy, Vimalkumar; Chandraprakasam, Satish; Mooss, Aryan N.

In: Case Reports in Medicine, Vol. 2014, 796202, 2014.

Research output: Contribution to journalArticle

@article{c82a6862c26c4b73a969f3a93f1016ab,
title = "Reversible stress cardiomyopathy presenting as acute coronary syndrome with elevated troponin in the absence of regional wall motion abnormalities: A forme fruste of stress cardiomyopathy?",
abstract = "We present a case of reversible stress cardiomyopathy in a surgical patient, described here as a forme fruste due to its atypical features. It is important to recognize such unusual presentation of stress cardiomyopathy that mimics acute coronary syndrome. Stress cardiomyopathy commonly presents as acute coronary syndrome and is characterized by typical or atypical variants of regional wall motion abnormalities. We report a 60-year-old Caucasian male with reversible stress cardiomyopathy following a sternal fracture fixation. Although the patient had several typical features of stress cardiomyopathy including physical stress, ST-segment elevation, elevated cardiac biomarkers and normal epicardial coronaries, there were few features that were atypical, including unusual age, gender, absence of regional wall motion abnormalities, high lateral ST elevation, and high troponin-ejection fraction product. In conclusion, this could represent a forme fruste of stress cardiomyopathy.",
author = "{Anantha Narayanan}, Mahesh and {Veerappan Kandasamy}, Vimalkumar and Satish Chandraprakasam and Mooss, {Aryan N.}",
year = "2014",
doi = "10.1155/2014/796202",
language = "English (US)",
volume = "2014",
journal = "Case Reports in Medicine",
issn = "1687-9627",
publisher = "Hindawi Limited",

}

TY - JOUR

T1 - Reversible stress cardiomyopathy presenting as acute coronary syndrome with elevated troponin in the absence of regional wall motion abnormalities

T2 - A forme fruste of stress cardiomyopathy?

AU - Anantha Narayanan, Mahesh

AU - Veerappan Kandasamy, Vimalkumar

AU - Chandraprakasam, Satish

AU - Mooss, Aryan N.

PY - 2014

Y1 - 2014

N2 - We present a case of reversible stress cardiomyopathy in a surgical patient, described here as a forme fruste due to its atypical features. It is important to recognize such unusual presentation of stress cardiomyopathy that mimics acute coronary syndrome. Stress cardiomyopathy commonly presents as acute coronary syndrome and is characterized by typical or atypical variants of regional wall motion abnormalities. We report a 60-year-old Caucasian male with reversible stress cardiomyopathy following a sternal fracture fixation. Although the patient had several typical features of stress cardiomyopathy including physical stress, ST-segment elevation, elevated cardiac biomarkers and normal epicardial coronaries, there were few features that were atypical, including unusual age, gender, absence of regional wall motion abnormalities, high lateral ST elevation, and high troponin-ejection fraction product. In conclusion, this could represent a forme fruste of stress cardiomyopathy.

AB - We present a case of reversible stress cardiomyopathy in a surgical patient, described here as a forme fruste due to its atypical features. It is important to recognize such unusual presentation of stress cardiomyopathy that mimics acute coronary syndrome. Stress cardiomyopathy commonly presents as acute coronary syndrome and is characterized by typical or atypical variants of regional wall motion abnormalities. We report a 60-year-old Caucasian male with reversible stress cardiomyopathy following a sternal fracture fixation. Although the patient had several typical features of stress cardiomyopathy including physical stress, ST-segment elevation, elevated cardiac biomarkers and normal epicardial coronaries, there were few features that were atypical, including unusual age, gender, absence of regional wall motion abnormalities, high lateral ST elevation, and high troponin-ejection fraction product. In conclusion, this could represent a forme fruste of stress cardiomyopathy.

UR - http://www.scopus.com/inward/record.url?scp=84940957397&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84940957397&partnerID=8YFLogxK

U2 - 10.1155/2014/796202

DO - 10.1155/2014/796202

M3 - Article

VL - 2014

JO - Case Reports in Medicine

JF - Case Reports in Medicine

SN - 1687-9627

M1 - 796202

ER -