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Case Reports
Mid-ventricular Obstructive Cardiomyopathy after Takotsubo Cardiomyopathy: A Case Report.
- Akihisa Tabira, Ikuo Misumi, Koji Sato, Hirofumi Matsuda, Tomoko Iwasaki, Hiroki Usuku, and Kenichi Tsujita.
- Department of Cardiology, Kumamoto City Hospital, Japan.
- Intern. Med. 2023 Aug 15; 62 (16): 236523732365-2373.
AbstractA 93-year-old woman was transferred to our hospital for lightheadedness. She had had Takotsubo cardiomyopathy for seven years. Transthoracic apical four-chamber echocardiography showed a large apical aneurysm. Pulsed-wave Doppler echocardiography at the left ventricular (LV) basal obstruction showed flow directed from the apex to the base during systole and isovolumic relaxation time. The patient was therefore diagnosed with mid-ventricular obstructive cardiomyopathy with a large apical aneurysm and paradoxical flow. The present case suggests that Takotsubo cardiomyopathy may become mid-ventricular obstructive hypertrophic cardiomyopathy without change in its structure.
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