A 42-year-old woman with no past medical history is admitted to ICU following a subarachnoid haemorrhage (WFNS grade 4). On day 5, she develops ST-seg...

Question

A 42-year-old woman with no past medical history is admitted to ICU following a subarachnoid haemorrhage (WFNS grade 4). On day 5, she develops ST-segment changes on ECG and echocardiography reveals severe global hypokinesis with EF 15%. Troponin is elevated. Coronary angiography shows no coronary artery disease. Cardiac index is 1.6 L/min/m2. What is the most likely diagnosis?

Accepted Answer

Neurogenic stunned myocardium

Answer

Acute coronary syndrome with spontaneous coronary artery dissection

Answer

Takotsubo (stress) cardiomyopathy

Answer

Myocarditis secondary to viral infection

Answer

Peripartum cardiomyopathy

uk-fficm MCQ (SBA): Neurogenic Stunned Myocardium