Apical ballooning with mid-ventricular obstruction: the many faces of Takotsubo cardiomyopathy

Veronica Spadotto, Mohamed Elmaghawry, Alessandro Zorzi, Federico Migliore, Martina Perazzolo Marra

Abstract


Takotsubo cardiomyopathy (TTC) is a transient left ventricular dysfunction due to akinesia of the left-ventricular (LV) mid-apical segments (apical ballooning), which can cause severe reduction in LV systolic function. The typical clinical picture of TTC include chest pain, electrocardiographic changes consisting of mild ST-segment elevation followed by diffuse deep T-wave inversion, QTc interval prolongation and mild troponin release in the absence of significant coronary stenoses. The syndrome often affects post-menopausal women and is triggered by sympathetic overstimulation, like intense physical or emotional stress, so that it is called the “broken heart syndrome”. Although left-ventricular systolic dysfunction usually fully recovers within few days, heart failure can still complicate the early phase. We report a case of stress-induced cardiomyopathy that had full recovery after 4 weeks of follow up. The main electrocardiographic, angiographic and imaging features are discussed. 


Full Text:

PDF

Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 Veronica Spadotto, Mohamed Elmaghawry, Alessandro Zorzi, Federico Migliore, Martina Perazzolo Marra

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.