UOTW #74

This is a 50 year old female who presents with sudden onset retrosternal chest pain that began just after she heard of her sister’s death. Pain has been continuous for 2 hours, it is a dull ache. Vitals stable. Initial and 2 hour ECGs/troponins are shown, along with a bedside echocardiogram.


22 thoughts on “UOTW #74

  1. I am a radiologist so I don’t usually read EKGs but this was a very well explained teaching case. Very concise and clear explanation with correlating EKG data and echocardiogram. Very nice

  2. Although she could be suffering a stress cardiomyopathy (Takotsubo), echo shows left ventricular apical ballooning; this a diagnosis of exclusion.
    It should rule out STEMI ( left anterior descending artery disease): increase ST V2 with positive wave T, and echo hypokinesis apical and dilated LV.

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