MIMIc STEMI; Typical ECG of Takotsubo-cardiomyopathy

Abstract

Our patient was a 76-year-old woman with a history of hypertension and a major depressive disorder who presented to the hospital with a sudden onset of dizziness followed by chest discomfort. ECG findings revealed that there was no ST-segment elevation in V1 and ST-segment elevation in V2-V6. Echocardiography revealed left ventricular wall motion abnormalities. ST-segment elevation in anterior leads except V1 lead which caused us to suspect Takotsubo-cardiomyopathy. We confirmed the diagnosis after performing coronary angiography and left ventriculography. Clinicians should suspect Takotsubo-cardiomyopathy from this typical ECG finding.