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Rapid reversibility of Takotsubo cardiomyopathy

Author(s): Mohamed Sami Mourali | Rachid Mechmeche | Sihem Mbarki | Fathia Mghaieth Zghal | Ramy Trabelsi

Journal: Advances in Molecular Imaging
ISSN 2161-6728

Volume: 02;
Issue: 01;
Start page: 26;
Date: 2011;
Original page

Keywords: Apical Ballooning | Takotsubo Cardiomyopathy | Early Recovery

Background: In Takotsubo cardiomyopathy (TCM), left ventricular dysfunction is usually reversible with- in a few weeks. Complete recovery can however be very rapid. We report the case of Mrs. TA, a 53 year old patient who had a history of hypertension treated with atenolol and captopril. She was admitted with the diagnosis of non ST segment elevation myo-car- dial infarction. The electrocardiogram showed ante- rior sub-and the troponinI level was 3.48 mg/l. Echo-cardiography revealed a left ventricular (LV) bal-looning and LV ejection fraction was 36%. A recent emotional stress was mentioned. TCM was suspected and emergency angiography showed apical balloon-ing with a normal coronary angiogram. There was a complete recovery in 72 hours with a normalization of regional and global LV function at echocar-diogra- phy and angiography. Conclusion: There is a large variability in TCM evolution aspects probably due to a variable physiopathological mechanism which re-mains to be clarified.

Tango Jona
Tangokurs Rapperswil-Jona

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