Intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction. A case report

https://doi.org/10.4081/monaldi.2007.468

Authors

  • Antonio D’Aloia Unità Operativa di Cardiologia, Spedali Civili, Brescia, Cattedra di Cardiologia, Università degli Studi di Brescia, Brescia, Italy.
  • Enrico Vizzardi Unità Operativa di Cardiologia, Spedali Civili, Brescia, Cattedra di Cardiologia, Università degli Studi di Brescia, Brescia, Italy.
  • Pompilio Faggiano | faggiano@numerica.it Unità Operativa di Cardiologia, Spedali Civili, Brescia, Cattedra di Cardiologia, Università degli Studi di Brescia, Brescia, Italy.
  • Claudia Fiorina Unità Operativa di Cardiologia, Spedali Civili, Brescia, Cattedra di Cardiologia, Università degli Studi di Brescia, Brescia, Italy.
  • Livio Dei Cas Unità Operativa di Cardiologia, Spedali Civili, Brescia, Cattedra di Cardiologia, Università degli Studi di Brescia, Brescia, Italy.

Abstract

A novel syndrome with transient asynergy of the apical segments of the left ventricle, also known as tako-tsubo cardiomyopathy, has been recently described and presents characteristics and effects similar to acute myocardial infarction. We report the case of a 69-year-old woman presenting with chest pain typical of myocardial ischemia, electrocardiographic abnormalities typical of antero-lateral transmural myocardial infarction, and unstable clinical and hemodynamic condition. Trans-thoracic echocardiography showed a left ventricular dysfunction with a markedly decreased ejection fraction. The patient received heparin and abciximab bolus but coronary angiography demonstrated the absence of coronary stenoses, thrombi, and coronary spasm. Due to impaired neurological conditions the patient underwent brain tomography that showed subarachnoid haemorrhage secondary to a right vertebral artery aneurysm rupture. The possible occurrence of a reversible cardiomyopathy mimicking an acute coronary syndrome in presence of intracranial bleeding should be always considered.

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Published
2016-02-03
Info
Issue
Section
Case Reports
Keywords:
tako-tsubo cardiomyopathy, acute myocardial infarction, intracranial bleeding, subarachnoid haemorrhage, aneurysm rupture
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How to Cite
D’Aloia, Antonio, Enrico Vizzardi, Pompilio Faggiano, Claudia Fiorina, and Livio Dei Cas. 2016. “Intracranial Bleeding Mimicking an Extensive Acute Myocardial Infarction With Reversible Apical Ballooning and Systolic Left Ventricular Dysfunction. A Case Report”. Monaldi Archives for Chest Disease 68 (1). https://doi.org/10.4081/monaldi.2007.468.

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