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J Cardiovasc Ultrasound. 2010 Sep;18(3):101-103. English. Case Report.
Shin SK , Jin SA , Park YK , Park JH .
Cardiology Division of Internal Medicine, Cardiocerebrovascular Center, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.

Stress-induced cardiomyopathy (SCMP) is diagnosed in 1-2% of patients presenting with symptoms suggestive of acute coronary syndrome. Because of sharing many common clinical features with SCMP, acute ST-segment elevation myocardial infarction (STEMI) can be misdiagnosed as SCMP. However, it can be associated with fatal outcome of the patient. Also, diagnosis of SCMP seems to be always challenging to clinicians, especially in the decision of taking coronary angiography which is still invasive and even risky. Here, we present a case with acute STEMI mimicking SCMP as a result of anatomical variation of coronary circulation. In this patient, prompt and early coronary angiography and stent implantation was very helpful.

Copyright © 2019. Korean Association of Medical Journal Editors.