We reported a transient stress-induced cardiomyopathy (SIC) in a 73-year-old woman who manifested with the setting of ST segment elevation myocardial infarction condition. She was initially complicated by heart failure from both systolic and diastolic dysfunction but had a fast recovery within 3 days. The trigger in this case was pneumonia of the right lower lung which responded well to medical therapy. The proposed pathophysiologic mechanisms and outcome had been reviewed. Currently, SIC was no longer considered a benign condition since the in-hospital complication rates were not different from those of ACS patients.
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