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Case Reports
. 2020 Jun 14;10(3):210-215.
doi: 10.1080/20009666.2020.1767271.

Takotsubo cardiomyopathy and its variants: a case series and literature review

Syed Mustajab Hasan  1   2 , Jay D Patel  1   2 , Mohammed Faluk  1   2 , Jigar Patel  1   2   3 , Premranjan Singh  1   2   3
Affiliations
Case Reports

Takotsubo cardiomyopathy and its variants: a case series and literature review

Syed Mustajab Hasan et al. J Community Hosp Intern Med Perspect. .

Abstract

Over the years, Takotsubo Cardiomyopathy (TCMP) has become increasingly apparent, now comprising a significant portion of patients presenting with suspected acute coronary syndrome. The most common presentation of TCMP is ST segment elevation on EKG, troponin elevation, and apical ballooning in the absence of significant coronary artery disease as seen via cardiac catheterization. Although this is the most common presentation, it is important to highlight the less common variants of TCMP. In this article, we present a case series of patients presenting with the different variants of TCMP, followed by a literature review.

Keywords: Cardiomyopathy; Takotsubo; ventricular dysfunction.

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Conflict of interest statement

No potential conflict of interest was reported by the authors.

Figures

Figure 1.
Figure 1.
(a) CXR demonstrating pulmonary vascular markings with increased cephalization. (b) Electrocardiogram demonstrating normal sinus rhythm and no signs of ST-elevation or depression, no inverted T waves noted.
Figure 2.
Figure 2.
a–d: (a, b) Cine shot of coronary vasculature showing no evidence of obstructive coronary disease. (c) Left ventriculogram push demonstrating focal wall hypokinesis. (d) Transthoracic echocardiogram demonstrating EF: 40%.
Figure 3.
Figure 3.
Left ventriculogram showing reverse ballooning during systole.
Figure 4.
Figure 4.
Echocardiogram also revealing basal ballooning in this reverse variant of Takotsubo cardiomyopathy.
See this image and copyright information in PMC

References

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