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. 2008 May;9(2):104-11.

Takotsubo cardiomyopathy: a case series and review of the literature

Emily E Merchant  1 , Sara W Johnson, Phu Nguyen, Christopher Kang, William K Mallon
Affiliations

Takotsubo cardiomyopathy: a case series and review of the literature

Emily E Merchant et al. West J Emerg Med. 2008 May.

Abstract

Takotsubo cardiomyopathy (TCM) is an unusual form of acute cardiomyopathy showing left ventricular apical ballooning. It is often triggered by intense physical or emotional distress. We report here four cases of TCM and a review of the literature on the topic.

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Figures

Figure 1
Figure 1
Cardiac catheterization demonstrating the patient’s left ventricular severe anterior-apical akinesis with compensatory inferior-posterior hyperkinesis during systole (A) and diastole (B).
Figure 2
Figure 2
Electrocardiograms of patient showing (A) ST-segment elevation is leads V1–V3, I and aVL at 15 minutes after presentation, (B) T-wave inversion in leads V2–V6, I and aVL and a lengthened QT at one day after presentation, and (C) improvement of the T-wave inversion and normalization of ST-elevation at four days after presentation.
Figure 3
Figure 3
Transthoracsic echocardiogram showing (A), on day one, a severely hypokinetic left ventricular anteroapical wall and mid to distal septum during systole (left) and diastole (right) and (B) on day four, some minor improvements to the wall motion abnormalities during systole (left) and diastole (right).
See this image and copyright information in PMC

References

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