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JACC Case Rep

Publication date: 2020-10-01
Pages: 1923 - 1931

Author:

Jogani, Siddharth
Timmermans, Philippe ; Desmet, Walter ; Koopman, Pieter ; Timmermans, Philippe

Keywords:

ACE, angiotensin-converting enzyme, ECG, electrocardiography, FMD, fibromuscular dysplasia, LAD, left anterior descending artery, LCX, left circumflex artery, PE, pulmonary embolism, RCA, right coronary artery, SCAD, spontaneous coronary artery dissection, TC, Takotsubo cardiomyopathy, TTE, transthoracic echocardiography, acute coronary syndrome, case series, coronary angiography, spontaneous coronary artery dissection, takotsubo cardiomyopathy

Abstract:

Both Takotsubo cardiomyopathy and spontaneous coronary artery dissection (SCAD) of the distal portion of the left anterior descending artery affect the apical myocardium. It is important to distinguish between both diseases, because therapy and follow-up differ. Revascularization may be lifesaving in SCAD, whereas heart failure management is vital in Takotsubo cardiomyopathy. (Level of Difficulty: Intermediate.).