He underwent coronary angiogram. Had no significant lesions , in 48 hours time the wall motion defect disappeared and was discharged with beta blockers.
Up to 2 % of ACS could be related to Takatsubo . More common in women especially post menopausal , with stressful/emotional background like loss of loved ones.
Apical ballooning , Broken heart syndrome , Stress cardiomyopathy.
Not clear . Microvascular spasm , excessive catecholamines , are thought to be major culprits.
Hyperkinetic base and akinetic or dyskinetic LV apex .
Lots of variations are reported .
Courtesy : Shimizu et al J Cardiol. 2006 Jan;47(1):31-7.
*The Banana type which is described here (Elongation of LV apex > Widening )
Focal myocytolysis are described. (Broken heart) Monocytic infiltrations are common.These are believed to be transient .
How to differentiate it between a STEMI ?
Prognosis and outcome
Think about Takatsubo whenever an acute coronary syndrome presents atypically . Not surprisingly few of them land in the cath lab !