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Left ventricular outflow tract obstruction in Tako-Tsubo cardiomyopathy
  1. Refai Showkathali,
  2. Rohan Jagathesan
  1. Department of Cardiology, The Essex Cardiothoracic centre, Basildon, Essex, UK
  1. Correspondence to Dr Refai Showkathali, Department of Cardiology, The Essex Cardiothoracic Centre, Basildon, Essex SS16 5NL, UK; refais{at}

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A 77-year-old lady was brought to our primary percutaneous coronary intervention service with chest pain and ST elevation in anterior chest leads. She had an emotional stress the day prior to her presentation. She was haemodynamically stable with a blood pressure of 110/64 mm Hg and had grade 5 ejection systolic murmur. Her coronary angiogram showed unobstructed coronary arteries. Her left ventriculogram showed akinetic apical and mid-segment with hyperkinetic basal segment, typical of Tako-Tsubo cardiomyopathy (figure 1, figure 2 …

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  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval Images section—consent form attached.

  • Provenance and peer review Not commissioned; externally peer reviewed.