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Takotsubo Cardiomyopathy — RACP Adult Medicine MCQ

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ModerateCardiologyTakotsubo CardiomyopathyRACP Adult Medicine

A 70-year-old postmenopausal woman presents after an emotional stressor with acute chest pain, ST elevation in V2–V5, and a mildly elevated troponin. Coronary angiography reveals no obstructive coronary disease. Ventriculography shows apical ballooning. Which is the most likely diagnosis?

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Correct answer: C — Takotsubo cardiomyopathy

Takotsubo (stress) cardiomyopathy classically presents in postmenopausal women following emotional or physical stress, with ST elevation and troponin rise mimicking STEMI, but unobstructed coronaries and characteristic apical ballooning on ventriculography. LV function typically recovers within weeks.

Reference: CSANZ – 2018 – Takotsubo Guidelines