Inverted Takotsubo cardiomyopathy and the fundamental

Tex Heart Inst J · Jan 2013

Case Reports

Inverted Takotsubo cardiomyopathy and the fundamental diagnostic role of echocardiography.

Takotsubo cardiomyopathy is characterized by the development of transient focal wall-motion abnormalities that involve the apical and midventricular segments, in the absence of obstructive coronary artery disease. A variant, inverted takotsubo cardiomyopathy, was described in 2010. We report 3 cases in which each patient's transthoracic echocardiogram revealed the characteristic basal and midventricular segmental akinesis of this variant. This pattern is not associated with coronary artery distribution, and it therefore can be differentiated from coronary artery disease with the use of echocardiography, by evaluating the distribution and temporal changes of akinetic areas.

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- Arantza Manzanal, Lara Ruiz, Jose Madrazo, Majesh Makan, and Julio Perez.
- Department of Cardiology, Basurto Hospital, Basque Country, 48013 Bilbao, Spain. Arantza.manzanal@gmail.com
- Tex Heart Inst J. 2013 Jan 1; 40 (1): 56-9.
AbstractTakotsubo cardiomyopathy is characterized by the development of transient focal wall-motion abnormalities that involve the apical and midventricular segments, in the absence of obstructive coronary artery disease. A variant, inverted takotsubo cardiomyopathy, was described in 2010. We report 3 cases in which each patient's transthoracic echocardiogram revealed the characteristic basal and midventricular segmental akinesis of this variant. This pattern is not associated with coronary artery distribution, and it therefore can be differentiated from coronary artery disease with the use of echocardiography, by evaluating the distribution and temporal changes of akinetic areas.

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Inverted Takotsubo cardiomyopathy and the fundamental diagnostic role of echocardiography.

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