Българска кардиология (May 2024)

А 53-year-old female with stress-induced cardiomyopathy: А clinical case

  • N. Dragnev,
  • V. Valkov,
  • N. Kalvachev

DOI
https://doi.org/10.3897/bgcardio.30.e117188
Journal volume & issue
Vol. 30, no. 1
pp. 107 – 115

Abstract

Read online Read online Read online

We are presenting a clinical case of a 53-year-old woman with a sudden decline of the general condition during a stressful moment, respiratory arrest requiring intubation and intensive care unit transfer. Due to the clinical evidence of acute left-sided heart failure, ECG and echocardiographic evidence of acute coronary syndrome, invasive coronary angiography with left ventriculography was performed, demonstrating a non-occlusive coronary artery disease with signifi cant LAD stenosis and left ventricular kinetics indicative of a stress-induced cardiomyopathy. In the course of the treatment, the patient regained consciousness with favourable dynamics in the ECG, echocardiographic and laboratory fi ndings. A follow-up coronary angiography and intervention of the signifi cant LAD stenosis at a later stage were discussed with the patient.

Keywords