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Case Reports
. 2005 Jul;44(7):727-32.
doi: 10.2169/internalmedicine.44.727.

Takotsubo-like transient biventricular dysfunction with pressure gradients

Satoshi Kurisu  1 , Ichiro Inoue, Takuji Kawagoe, Masaharu Ishihara, Yuji Shimatani, Naoya Mitsuba, Takaki Hata, Yasuharu Nakama, Tomohiko Kisaka, Yasufumi Kijima
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Free article
Case Reports

Takotsubo-like transient biventricular dysfunction with pressure gradients

Satoshi Kurisu et al. Intern Med. 2005 Jul.
Free article

Abstract

A 78-year-old woman was admitted to our hospital due to chest oppressive sensation. Admission electrocardiography revealed ST-segment elevation in I, II, III, aV(F) and V(2-6) leads. Left ventriculography showed apical akinesis and basal hyperkinesis with a pressure gradient of 60 mmHg between the left ventricular apex and the base. Right ventriculography also showed similar abnormal wall motion with a pressure gradient of 28 mmHg. Follow-up cardiac catheterization after 16 days showed normal wall motion with no pressure gradients. However, dobutamine stress (10 microg/kg/min) caused a pressure gradient of 60 mmHg between the left ventricular apex and the aorta.

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