Patient in late 40s with history of cardiomyopathy attends E | Figure 1

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Emergency Medicine

Patient in late 40s with history of cardiomyopathy attends ER with chest pain with radiation to left arm, troponin is significantly elevated. Would the patient’s known past medical history suffice to conclude this is a recurrence of the same? How is the treatment of cardiomyopathy different from acute coronary syndrome? And your thoughts on this EKG?

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This is the answer for the case. The answer is Takotsubo cardiomyopathy or stress cardiomyopathy. As you can see the left ventricle has the shape of a takotsubo in systole. The patient recovered completely.](https://app.figure1.com/case-detail/0c685def-78f7-4529-985d-45c1be29dd1d)



Frontal (image 1) and lateral (image 2) chest radiograph shows cardiomegaly and mild hazy opacity in the upper lungs. Axial contrast-enhanced CT (image 3) confirms that the heart is enlarged due to dilated cardiomyopathy. Dilated cardiomyopathy is the most common type of cardiomyopathy. It usually occurs in adults between their third and fifth decade of life. Up to one-third of patients with dilated cardiomyopathy have a genetic source for disease. Other potential causes of dilated cardiomyopathy include coronary artery disease, diabetes, viral infection, drugs, and alcohol abuse.](https://app.figure1.com/case-detail/29f042c7-e42b-49c9-bf62-640d024f3e3e)



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