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Reversible T‐Wave Inversions and Neurogenic Myocardial Stunning in a Patient with Recurrent Stress‐Induced Cardiomyopathy |
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| Authors: | Yasushi Akutsu M.D. Ph.D. Kyouichi Kaneko M.D. Ph.D. Yusuke Kodama M.D. Ph.D. Hui‐Ling Li M.D. Ph.D. Jumpei Suyama M.D. Ph.D. Tsutomu Toshida M.D. Ph.D. Hiroyuki Kayano M.D. Ph.D. Akira Shinozuka M.D. Ph.D. Takehiko Gokan M.D. Ph.D. Youichi Kobayashi M.D. Ph.D. |
| Affiliation: | 1. Division of Cardiology, Department of Medicine;2. Department of Internal Medicine (Cardiology), Clinical Trial Center for Clinical Pharmacology, Showa University Karasuyama Hospital, , Tokyo, Japan;3. Department of Radiology, Showa University School of Medicine, , Tokyo, Japan |
| Abstract: | A 72‐year‐old female was diagnosed as a stress‐induced cardiomyopathy from apical ballooning pattern of left ventricular dysfunction without coronary artery stenosis after the mental stress. ECG showed the transient T‐wave inversions after the ST‐segment elevations. By the mental stress after 1 year, she showed a transient dysfunction with similar ECG changes again. T‐wave inversions recovered earlier, and cardiac sympathetic dysfunction showed a lighter response corresponding to the less severe dysfunction than those after the first onset. Wellens’ ECG pattern was associated with the degree of neurogenic myocardial stunning with sympathetic hyperinnervation caused by mental stress. |
| Keywords: | noninvasive techniques— electrocardiography clinical electrophysiology— autonomic nervous system clinical |