Author/Authors :
Demirelli, Selami Atatürk University - Faculty of Medicine - Department of Cardiology, Turkey , Arslan, Şakir Atatürk University - Faculty of Medicine - Department of Cardiology, Turkey , Bakırcı, Eftal Murat Antalya Education and Research Hospital - Clinic of Cardiology, Turkey , Demir, Orhan Antalya Education and Research Hospital - Clinic of Cardiology, Turkey
Abstract :
A 75-year old female was referred to our hospital for chest pain, sudden dyspnea and palpitation after an emotional stressful event (her husband died). In her medical history, there was no evidence of relevant pathologies or cardiovascular risk factors. Precordial palpation revealed apical hyperkinesia. Auscultation revealed systolic murmur (Levine 3/6) at apex and coarse crackles in bilateral lung fields. Heart rate was 120/ min with blood pressure of 80/50 mmHg and body temperature was 36.5°C. Electrocardiogram on admission showed ST segment elevation in DI and aVL and T-wave inversion in the anterior leads. Chest radiography showed a remarkable pulmonary congestion and normal cardiothoracic ratio.
