A 68-year-old woman presents with acute substernal chest pain and dyspnea. An electrocardiogram reveals deep T-wave inversion with QT-interval prolongation. Laboratory analysis reveals very mild elevation of troponin and cardiac enzymes. The patient had no history of cardiac disease. Shortly before her symptoms developed, she had been told that her daughter and grandchild had been killed in a car accident. Echocardiography showed left ventricular (LV) apical ballooning with dyskinesis of the apical one-half of the LV. Coronary angiography demonstrated only mild coronary atherosclerosis. When the patient was reevaluated weeks later, it was shown that she had recovered normal LV function. What did this patient most likely experience?

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The Cardiac Medicine Certification (CMC) exam is designed for certified nurses currently practicing in areas such as CCU, combined ICU/CCU, medical ICU, telemetry, progressive care, heart failure clinics/home care, interventional cardiology, cardiac catheterization labs and/or electrophysiology units. Exam content: Since all eligible candidates must hold a clinical nursing specialty certification, the 90-item subspecialty exams concentrate solely on the Synergy Model component of Clinical Judgment. Although components such as patient teaching and collaboration are very important in providing... Show more

A 68-year-old woman presents with acute substernal chest pain and dyspnea. An electrocardiogram reveals deep T-wave inversion with QT-interval prolongation. Laboratory analysis reveals very mild elevation of troponin and cardiac enzymes. The patient had no history of cardiac disease. Shortly before her symptoms developed, she had been told that her daughter and grandchild had been killed in a car accident. Echocardiography showed left ventricular (LV) apical ballooning with dyskinesis of the apical one-half of the LV. Coronary angiography demonstrated only mild coronary atherosclerosis. When the patient was reevaluated weeks later, it was shown that she had recovered normal LV function. What did this patient most likely experience?