Clinical Practice and Cases in Emergency Medicine
Takotsubo Cardiomyopathy Presenting as Wellens’ Syndrome
- Author(s): Skjerli, Leif
- Taylor, Scott
- Ashurst, John
- et al.
Published Web Locationhttps://doi.org/10.5811/cpcem.2017.1.32297
Takotsubo cardiomyopathy, also known as apical ballooning syndrome and stress cardiomyopathy, is a transient systolic and diastolic left ventricular dysfunction with a variety of cardiac wall-motion abnormalities that is increasingly being associated with significant morbidity and mortality. Wellens’ syndrome is an electrocardiographic pattern in a pain-free patient that is indicative of critical occlusion of the left anterior descending coronary artery requiring immediate cardiac catheterization. The authors report a case of a patient presenting with electrocardiographic findings consistent with Wellens’ syndrome that was later found to have Takotsubo cardiomyopathy with angiographically normal coronary arteries on cardiac catheterization after a seizure.