The fifth takotsubo variant. Issue 1 (2nd November 2016)

• Record Type: Journal Article
• Authors: Bridgman, Paul G.; Chan, Christina W.
• Is Part Of: Echocardiography. Volume 34:Issue 1(2017)
• Page Start: 122
• Page End: 123
• Publication Date: 2016-11-02
• Subjects: apical ballooning syndrome -- cardiomyopathy -- echocardiography -- takotsubo cardiomyopathy; Echocardiography -- Periodicals; Echocardiography -- Periodicals; 616.1207543
• DOI: 10.1111/echo.13405
• Languages: English
• ISSNs: 0742-2822

Abstract

Abstract : We document the fifth pattern of takotsubo cardiomyopathy, in which the mid‐LV is hyperdynamic but the apex and base are akinetic or hypokinetic. This is a reverse mid‐ventricular takotsubo. The patient is a 79‐year‐old woman admitted with chest pain and initially a normal EKG. Her troponin I rose to 5.4 μg/L (0.02‐0.03 μg/L) and she developed QT prolongation and widespread T‐wave inversion. Coronary angiography showed only very mild atheroma. Follow‐up echocardiogram six weeks later showed normal left ventricular function.