Faculty, Staff and Student Publications

Publication Date

12-1-2024

Journal

Cureus

DOI

10.7759/cureus.75037

PMID

39764335

PMCID

PMC11702313

PubMedCentral® Posted Date

12-3-2024

PubMedCentral® Full Text Version

Post-print

Abstract

We present a case of a 52-year-old male with no known past medical history who presented to an outside hospital with acute chest pain. Initial workup revealed anteroseptal ST-elevation myocardial infarction (STEMI) for which the patient was transferred to our facility for emergent percutaneous coronary intervention (PCI). However, the patient's hospital course revealed numerous confounding pathologies that can also present as STEMI, including transthoracic echocardiogram (TTE) abnormalities consistent with takotsubo cardiomyopathy (TCM) as well as myocardial bridging presenting as post-PCI STEMI in the setting of nitroglycerin use. The purpose of this case report is to discuss non-acute coronary syndrome causes of STEMI, specifically TCM and myocardial bridging, in a patient who presented with acute onset chest pain and ECG changes.

Keywords

cardiac chest pain, intramyocardial bridging, myocardial ischemia, st-elevation myocardial infarction (stemi), st elevations, takotsubo cardiomyopathy

Published Open-Access

yes

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