Author + information
- Received October 22, 2011
- Accepted October 31, 2011
- Published online July 17, 2012.
A 76-year-old Caucasian woman with a history of hypertension but no clinical history of coronary artery disease had 3 different patterns of left ventricular contraction abnormality related to stress cardiomyopathy. Each episode (2004, July 2010 after a heavy thunderstorm, and September 2010 after hip replacement) was associated with significant electrocardiographic changes (A1, negative T waves V1 to V6; B1, negative T waves V3 to V6; C1, ST-segment elevation V3 to V6), moderate increase in cardiac biomarkers, and normal coronary angiography. The first left ventriculography revealed mid and apical left ventricular akinesia with hyperkinesia of the basal segments (A2, Online Video 1). The second episode was characterized by an isolated mid left ventricular akinesia (B2, Online Video 2), whereas the third event showed a pure apical with limited apical akinesia (C2, Online Video 3). After each episode, the patient recovered completely. To note, biological exploration excluded the presence of a pheochromocytoma.
- Received October 22, 2011.
- Accepted October 31, 2011.
- American College of Cardiology Foundation