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Hitode heart: a report of two cases of midventricular takotsubo cardiomyopathy

Clanton, Leigh S.a; Cobb, Daniel B.a; Huang, Mishaa; Krantz, Mori J.a,b

doi: 10.1097/XCE.0000000000000035
Case report

Stress cardiomyopathy presents very similarly to acute coronary syndrome and its multiple inciting stressors make the decision to obtain angiography challenging. Here we describe two cases of stress cardiomyopathy presenting with a rare variant ECG pattern of a starfish. The first case presented after an emotional stressor with a history of diabetes and hypothyroidism. The second case presented after a traumatic brain injury with presumed underlying primary idiopathic hypercalciuria. We discuss the implications of calcium metabolic abnormalities on stress cardiomyopathy in classic presentations and morphologic variants.

aDepartment of Internal Medicine, University of Colorado, Aurora

bDenver Health Medical Center, Division of Cardiology, Denver, Colorado, USA

Correspondence to Leigh S. Clanton, BA, University of Colorado School of Medicine, 4699 Nautilus Court South Suite 102, Boulder, CO 80301, USA Tel: +1 303 596 4059; fax: +1 303 530 7227; e-mail:

Received January 14, 2014

Accepted March 11, 2014

© 2014Wolters Kluwer Health Lippincott Williams Wilkins
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