Myocardial edema is a feature of Tako-Tsubo cardiomyopathy and is related to the severity of systolic dysfunction: insights from T2-weighted cardiovascular magnetic resonance

Int J Cardiol. 2009 Feb 20;132(2):291-3. doi: 10.1016/j.ijcard.2007.08.102. Epub 2007 Dec 20.

Abstract

We investigated if myocardial edema is a feature of Tako-Tsubo cardiomyopathy (TTC). Seven TTC patients in the acute phase were studied using cine, T2 and late enhancement cardiovascular magnetic resonance (CMR). A transmural area of high T2 signal was visible involving the mid-anterior wall and apical segments matching the distribution of hypokinesis. CMR-identified edema is a feature of TTC. This may provide insight into the pathophysiology of stress-induced cardiomyopathy and serve as a useful tool for its non-invasive characterization.

Publication types

  • Letter
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cardiomyopathies / etiology*
  • Cardiomyopathies / physiopathology
  • Edema / etiology*
  • Edema / physiopathology
  • Humans
  • Magnetic Resonance Imaging* / methods
  • Severity of Illness Index
  • Systole
  • Takotsubo Cardiomyopathy / complications*
  • Takotsubo Cardiomyopathy / diagnosis*
  • Takotsubo Cardiomyopathy / physiopathology