CARDIOMYOPATHY CAUSED BY STRESS DUE TO FEAR OF UNDERGOING MAGNETIC RESONANCE IMAGINGBurak Ogulcan Yildirim
Takotsubo cardiomyopathy is a primary and acquired form of non-ischemic cardiomyopathy. Usually, a psychologically, emotionally, or physically stressful event precedes it. We have documented a case of a 67-year-old woman who experienced chest pain after undergoing magnetic resonance imaging (MRI). Electrocardiography (ECG) indicated changes and cardiac markers consistent with acute coronary syndrome (ACS). Coronary angiography revealed no coronary artery disease. Left ventriculography showed depressed LV systolic function with anteroapical akinesia, consistent with Takotsubo cardiomyopathy. After the cardiac catheterization and echocardiography patient is diagnosed with Takotsubo cardiomyopathy. Clopidogrel and atorvastatin were discontinued and the patient was treated with metoprolol, aspirin, and lisinopril. Two weeks later, during her follow-up, she described no symptoms and the control echocardiogram showed normal findings.
Keywords: Cardiomyopathy, Magnetic resonance, Stress, Takotsubo