Biventricular takotsubo cardiomyopathy with asymmetrical wall motion abnormality between left and right ventricle: a report of new case and literature review

Tsugu, Toshimitsu; Nagatomo, Yuji; Nakajima, Yuki; Kageyama, Takahiro; Endo, Jin; Itabashi, Yuji; Kawakami, Takashi

doi:10.1007/s12574-019-00424-1

Cited by 5 publications

(3 citation statements)

References 38 publications

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“…4 ), basal, and focal types are 62-88%, 10-18.5%, 0-5.8%, and 0-6.1%, respectively [ [26] , [27] , [28] , [29] , [30] , [31] ]. Importantly, right ventricular wall motion could be involved with and without left ventricular wall motion abnormalities [ 6 , 26 , 27 , 32 ]. Because earlier studies used left ventriculography to detect and diagnose TTS, right ventricular involvement had not been reported until 2006, when two studies from the USA and EU reported right ventricular involvement in TTS [ 33 , 34 ].…”

Section: Introductionmentioning

confidence: 99%

Update of takotsubo syndrome in the era of COVID-19

Okura

2021

Journal of Cardiology

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Highlights Takotsubo syndrome (TTS) has become a globally recognized disease and its spectrum has been widened based on the observations using multimodality images. Despite the long-standing clinical experience and efforts in basic research, its pathophysiology and specific treatments have not been well established. We should always remember possible cardiovascular complications such as coronary artery disease, thromboembolism, myocarditis, and TTS in patients with COVID-19.

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Section: Introductionmentioning

confidence: 99%

Update of takotsubo syndrome in the era of COVID-19

Okura

2021

Journal of Cardiology

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“…Data on the recovery pattern of BTC is sparse and although there have been case reports describing asymmetrical wall motion abnormality between the left ventricle and right ventricle, 5 , 6 we believe our report is the first that, based on a series of transthoracic echocardiograms during hospital stay, describes the sequential recovery of BTC.…”

Section: Discussionmentioning

confidence: 59%

A case report: biventricular takotsubo cardiomyopathy with sequential ventricular recovery due to pulmonary hypertension

Agarwal

Kardos

2021

European Heart Journal - Case Reports

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Background Biventricular Takotsubo cardiomyopathy (BTC) is estimated to occur in 25–42% of those with Takotsubo cardiomyopathy (TC). Little is known about which subset of patients are predisposed to having concomitant right ventricular (RV) involvement, or the pattern of recovery in BTC. Case summary We describe a 69-year-old woman who presented with dyspnoea and was subsequently diagnosed with BTC. We propose that this was triggered by an exacerbation of chronic obstructive pulmonary disease on a background of multiple predisposing factors including recent bereavement, previous excessive alcohol use, status as a current smoker, and anxiety. During her admission, she required non-invasive ventilation and inotropic support to manage her type two respiratory failure and acute heart failure. Serial echocardiograms during the admission allowed us to capture and present the sequential recovery of ventricular systolic function, with the left ventricular (LV) recovery preceding the right ventricle. Discussion Our patient fulfils the International Takotsubo Diagnostic criteria of transient LV dysfunction, emotional and physical triggers, electrocardiogram abnormalities, raised troponin and brain natriuretic peptide and no occlusive coronary artery disease. We hypothesize that pulmonary hypertension-related strain on the right ventricle due to lung disease, may have led to the observed delay in the recovery of RV function, despite the full recovery of LV function.

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“…Cardiogenic shock in TS can be caused by severe systolic dysfunction, LVOTO, severe mitral regurgitation, and RV involvement [ 52 , 62 , 63 ]. Diagnosing TS complications is of utmost importance in order to properly treat an individual patient.…”

Section: Standard Echocardiographymentioning

confidence: 99%

An Extensive Review on Imaging Diagnosis Methods in Takotsubo Syndrome

Paraschiv,

Paduraru,

Balanescu

2023

Rev. Cardiovasc. Med.

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Takotsubo Syndrome (TS) is an acute, reversible cardiac dysfunction, with complex, not entirely understood pathophysiology and heterogeneous clinical picture. Imaging methods each have a crucial role in the diagnosis, in-hospital management, short term and long term follow up. Coronary angiography needs to be performed, especially in the setting of a suspected acute coronary syndrome, in order to rule out coronary artery disease. Echocardiography plays a central role both in the acute and the chronic phase. It is the first imaging investigation performed in patients with TS, valuable to diagnose systolic dysfunction, the wall motion pattern and early complications. Cardiac magnetic resonance tissue characterization provides an essential role in the differential diagnosis of TS with other non-ischemic causes of systolic dysfunction. This review focuses on the imaging methods and the important part they play in the complex management of the disease.

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Biventricular takotsubo cardiomyopathy with asymmetrical wall motion abnormality between left and right ventricle: a report of new case and literature review

Cited by 5 publications

References 38 publications

Update of takotsubo syndrome in the era of COVID-19

Update of takotsubo syndrome in the era of COVID-19

A case report: biventricular takotsubo cardiomyopathy with sequential ventricular recovery due to pulmonary hypertension

An Extensive Review on Imaging Diagnosis Methods in Takotsubo Syndrome

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