Henry C. Quevedo, MD, Georges Khoueiry, MD HeartRhythm Case Reports

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Recurrent admission with ventricular fibrillation in the context of takotsubo cardiomyopathy Henry C. Quevedo, MD, Georges Khoueiry, MD HeartRhythm Case Reports DOI: 10.1016/j.hrcr.2018.09.003 Copyright © 2018 Terms and Conditions

Figure 1 A. Electrocardiogram in the current TCC presentation depicted STE in anterior leads showing R on T phenomenon at the end of the rhythm strip. Figure 1B: EKG showing prior presentation in 2017 with STE in anterior leads Figure 1C: EKG from initial presentation in 2015 with evidence of anteroseptal wall MI, age undetermined. Figure 1D-E. Representative images with contrast echocardiography of the apical ballooning with anterior wall akinesis. Figure 1 F Contrast left ventriculography performed in the current presentation to demonstrate wall motion abnormalities in the anterior wall (arrows). Figure 1G Contrast left ventriculography performed in the prior hospital admission (2017) with similar wall motion abnormalities in the anterior wall as Figure 1F (arrows). Figure 1H-I Serial coronary angiography in both admissions depicting mild disease in the left circumflex arteries but otherwise widely patent left anterior descending artery. HeartRhythm Case Reports DOI: (10.1016/j.hrcr.2018.09.003) Copyright © 2018 Terms and Conditions