Retrospective Analysis of Diagnosis and Treatment of One Case of Stress Cardiomyopathy Misdiagnosed as Acute Myocardial Infarction
ZHAO Hai-feng
LI Ying
FU Yan
Abstract：Objective To study the pathogenesis, diagnosis and differential diagnosis measures, misdiagnosis cause and preventive measures of stress cardiomyopathy ( SCM) . Methods Clinical data of one case of SCM misdiagnosed as acute myocardial infarction ( AMI) was retrospectively analyzed in our hospital. Results The patient was admitted for chest pain, chest tightness and palpitations for ten hours preceded by an emotional stressor. The electrocardiogram ( ECG) showed ST seg-ment elevation of Ⅱ,Ⅲ, aVF and V1 ~V6 . The patient had an increase in creatine kinase MB fraction and cardiac troponin I. AMI was considered at first and the patient underwent immediate treatment for percutaneous coronary intervention ( PCI) . But coronary angiography was normal. The result of left ventricular angiography was the one of apical ballooning or hypokinesia of the apex of the heart. The diagnosis of SCM was eventually confirmed. The patient's clinical symptoms improved after the medication of Aspirin, Metoprolol, Enalapril, Rosuvastatin, Antisterone, and Low Molecular Heparin. The patient was dis-charged after the symptom was improved and the follow-up was lost . Conclusion SCM may mimic AMI. It is necessary to reduce or avoid misdiagnosis and mistherapy and to raise awareness of SCM, widen diagnostic thinking and make differential diagnosis carefully.
Keywords：CardiomyopathyMisdiagnosisMyocardial infarction
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 12-15 )