A Mid-Ventricular Variant of Takotsubo Cardiomyopathy

Velankar, Pradnya; Buergler, John M.

doi:10.14797/mdcj-8-3-37

Cited by 8 publications

(11 citation statements)

References 17 publications

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“…In the former, akinesis is noted in the midventricle and is seen with a hyperdynamic base and apex. In the reverse subtype, the cardiac base is akinetic, while the apex is hyperdynamic [3]. Cardiac catheterization can be useful in identifying the presence of obstructive coronary artery disease, but it is important to note that the presence of some atherosclerotic disease does not exclude the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Sclerotherapy Induced Takotsubo Syndrome

Patel

Nabatian

Goyfman

2020

Case Reports in Cardiology

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A 66-year-old female was brought to the emergency department for acute-onset left-sided chest pain. Prior to arrival, she was at an outpatient appointment with a vascular surgeon for elective sclerotherapy treatment of her lower extremity varicose veins. After receiving an IV injection of polidocanol, she developed severe chest pain with left arm and jaw numbness for the first time in her life. Upon arrival to the ED, the patient reported that her symptoms had resolved. Electrocardiogram (ECG) on presentation was significant for T-wave inversions in leads V1-V3. An initial set of cardiac enzymes showed a troponin I level of 0.62 ng/mL, which subsequently increased to 2.26 ng/mL. Her echocardiogram was significant for mild left ventricular systolic dysfunction with apical hypokinesis (ejection fraction 50%). A repeat ECG showed new T-wave inversions compared to that from the time of admission. The patient eventually agreed to cardiac catheterization, which revealed patent vessels without coronary artery disease, supporting our diagnosis of Takotsubo syndrome and what is the first reported case of likely polidocanol-induced Takotsubo syndrome in the United States.

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Section: Discussionmentioning

confidence: 99%

Sclerotherapy Induced Takotsubo Syndrome

Patel

Nabatian

Goyfman

2020

Case Reports in Cardiology

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“…TTC, also known as apical ballooning syndrome or stress-induced cardiomyopathy (as well as more than 70 additional names 2 ) is characterized by transient LV systolic dysfunction, usually affecting the apical or mid-apical segments, mimicking an acute coronary syndrome but without evidence of coronary artery disease, producing a balloon-like appearance of the distal ventricle in systole. Reverse or inverted Tako-Tsubo, 3 right ventricular TakoTsubo, 4 mid-ventricular Tako-Tsubo, 5 focal mid-ventricular apical ballooning 6 and global hypokinesis 7 have also been described as atypical forms. TTC was first described in Japan in 1990 arousing clinical and research interest with over 300 publications in the past 20 years.…”

Section: Tako-tsubo Cardiomyopathymentioning

confidence: 99%

Reversible Dilated Cardiomyopathy: Into the Thaumaturgy of the Heart—Part 1

et al. 2016

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Dilated cardiomyopathy (DCM) is a genetic or acquired heart muscle disorder characterized by dilation and impaired contraction of one or both ventricles. In the acquired forms of the disease, if the pathogenic agent is persistent, undiagnosed or untreated, permanent ultrastructural and morphological changes may lead to irreversible dysfunction. Conversely, when DCM is promptly recognized and treated, the heart may show an extraordinary ability to recover from left ventricular (LV) systolic dysfunction. While much research in heart failure has focused on morbidity and mortality associated with persistent LV systolic dysfunction, relatively little attention has been devoted to this remarkable potential for recovery. In this two-part review we will focus on the most common types of reversible DCM. The first part will deal with Tako-Tsubo cardiomyopathy, tachycardiainduced cardiomyopathy, metabolic DCM and recovery after Left ventricular assist device implantation. Although diverse in etiopathogenesis, genetic background, therapeutic options and outcome, the forms of DCM characterized by reversible LV dysfunction share similar challenges in diagnosis and clinical management. The identification of pathways to recovery may show the way for novel therapeutic targets ultimately benefitting all cardiac patients.

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“…Initially TCM was described by Satoh et al [3]. In Japanese, there is a fisherman's octopus pot, the takotsubo, with rounded body and narrow neck [4]. The similar appearance we can see on echocardiogram, cardiac MRI, or ventriculography, at the end of systole the heart looks like a bulb with short neck and round bottom.…”

Section: Introductionmentioning

confidence: 95%

Takotsubo Cardiomyopathy Shortly Emerged after Falling through the Ice - A Case Report

Kalashnikov¹

2013

J Clin Exp Cardiolog

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This case is dedicated to a 71-year-old woman with stress induced cardiomyopathy emerged shortly after falling through the ice. She suffered from acute heart failure and fever. Electrocardiogram showed a small-scale ST elevation and echocardiography revealed typical dyskinesia of the apical segments, while coronary angiography demonstrated minimal changes in coronary arteries. The diagnosis of Takotsubo cardiomyopathy was suggested. The treatment of the patient included beta-blockers, angiotensin-converting enzyme inhibitors, aspirin, diuretics and antibiotics. In a while, the left ventricular function had fully recovered.

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A Mid-Ventricular Variant of Takotsubo Cardiomyopathy

Cited by 8 publications

References 17 publications

Sclerotherapy Induced Takotsubo Syndrome

Sclerotherapy Induced Takotsubo Syndrome

Reversible Dilated Cardiomyopathy: Into the Thaumaturgy of the Heart—Part 1

Takotsubo Cardiomyopathy Shortly Emerged after Falling through the Ice - A Case Report

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