Epidemiological, clinical, and echocardiographic features of twenty ‘Takotsubo-like’ reversible myocardial dysfunction cases with normal coronarography following immersion pulmonary oedema

Myocardial oedema in the setting of immersion pulmonary oedema - Cause or effect?

“…While it is conceivable that this represents a pre-existing inflammatory process such as myocarditis which contributed towards IPE, it is also potentially a consequence of the acute episode. This is an interesting finding and complements historic data demonstrating reversible and frequently regional myocardial dysfunction in the setting of IPE 12 18–20. Importantly, echocardiography was normal in this case, although 2 days following the acute episode, therefore any dysfunction is unlikely to have been fully appreciated.…”

“…In addition, the slight troponin elevation in combination with localised lateral repolarisation abnormalities, together with the myocardial oedema and fibrosis seen on the initial MRI, support a degree of myocardial injury. The ECG in particular adds to existing data which appears to demonstrate a tendency toward lateral repolarisation and ST segment disturbances 12 18 19…”