Transient apical dysfunction syndrome (TADS) is frequently misdiagnosed as an acute coronary syndrome (ACS). It is characterized by electrocardiographic alterations and elevated myocardial necrosis markers, accompanied by hypokinesia, akinesia or anteroapical dyskinesia, in absence of significant coronary disorders. It generally resolves in days or weeks with individualized support measures. We present the case of a female patient referred to our service for a myocardial perfusion imaging study due to a history suggestive of an acute coronary syndrome after a stressful event. (C) 2010 Elsevier Espana, S.L. and SEMNIM. All rights reserved.
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E Tennessee State Univ, Dept Internal Med, Div Cardiol, Johnson City, TN 37614 USAE Tennessee State Univ, Dept Internal Med, Div Cardiol, Johnson City, TN 37614 USA
Abi-Saleh, B
Iskandar, SB
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E Tennessee State Univ, Dept Internal Med, Div Cardiol, Johnson City, TN 37614 USAE Tennessee State Univ, Dept Internal Med, Div Cardiol, Johnson City, TN 37614 USA
Iskandar, SB
Schoondyke, JW
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E Tennessee State Univ, Dept Internal Med, Div Cardiol, Johnson City, TN 37614 USAE Tennessee State Univ, Dept Internal Med, Div Cardiol, Johnson City, TN 37614 USA
Schoondyke, JW
Fahrig, S
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E Tennessee State Univ, Dept Internal Med, Div Cardiol, Johnson City, TN 37614 USAE Tennessee State Univ, Dept Internal Med, Div Cardiol, Johnson City, TN 37614 USA
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St Georges Univ London, Cardiovasc Biol Res Ctr, Div Cardiac Vasc Sci, London SW17 0RE, EnglandSt Georges Univ London, Cardiovasc Biol Res Ctr, Div Cardiac Vasc Sci, London SW17 0RE, England
Tarkin, Jason M.
Khetyar, Maher
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St Georges Univ London, Cardiovasc Biol Res Ctr, Div Cardiac Vasc Sci, London SW17 0RE, EnglandSt Georges Univ London, Cardiovasc Biol Res Ctr, Div Cardiac Vasc Sci, London SW17 0RE, England
Khetyar, Maher
Kaski, Juan C.
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St Georges Univ London, Cardiovasc Biol Res Ctr, Div Cardiac Vasc Sci, London SW17 0RE, EnglandSt Georges Univ London, Cardiovasc Biol Res Ctr, Div Cardiac Vasc Sci, London SW17 0RE, England