Evolutionary change mimicking apical hypertrophic cardiomyopathy in a patient with takotsubo cardiomyopathy

Echocardiography. 2014 Nov;31(10):E293-5. doi: 10.1111/echo.12722. Epub 2014 Aug 11.

Abstract

In this report, we introduce a case of thickening of the involved left ventricular apical segment on echocardiography and deep T-wave inversions in precordial leads on electrocardiography transiently seen in the course of recovery from biventricular takotsubo cardiomyopathy, mimicking apical hypertrophic cardiomyopathy. This result suggests that the echocardiographic finding of transient myocardial edema can be identified by cardiac magnetic resonance imaging in takotsubo cardiomyopathy. Additionally, it persisted a few weeks after full functional recovery. We believe that this case will contribute in part toward clarifying the pathophysiology of takotsubo cardiomyopathy.

Keywords: apical hypertrophic cardiomyopathy; biventricular involvement; takotsubo cardiomyopathy.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary / methods
  • Cardiomyopathy, Hypertrophic / diagnosis
  • Cardiomyopathy, Hypertrophic / diagnostic imaging*
  • Cardiomyopathy, Hypertrophic / pathology
  • Coronary Angiography
  • Coronary Artery Disease / diagnostic imaging
  • Coronary Artery Disease / therapy
  • Diagnosis, Differential
  • Echocardiography / methods*
  • Electrocardiography / methods
  • Humans
  • Male
  • Monitoring, Physiologic / methods
  • Remission, Spontaneous
  • Severity of Illness Index
  • Takotsubo Cardiomyopathy / diagnosis
  • Takotsubo Cardiomyopathy / diagnostic imaging*
  • Takotsubo Cardiomyopathy / pathology