Publication Date

1-1-2013

Journal

The Texas Heart Journal

PMID

23467068

Publication Date(s)

2013

Language

English

PMCID

PMC3568277

PubMedCentral® Posted Date

1-1-2013

PubMedCentral® Full Text Version

Post-Print

Published Open-Access

yes

Keywords

Cardiomyopathies/diagnosis/physiopathology, echocardiography, takotsubo cardiomyopathy/diagnosis, ventricular dysfunction, left/diagnosis

Abstract

Takotsubo cardiomyopathy is characterized by the development of transient focal wall-motion abnormalities that involve the apical and midventricular segments, in the absence of obstructive coronary artery disease. A variant, inverted takotsubo cardiomyopathy, was described in 2010. We report 3 cases in which each patient's transthoracic echocardiogram revealed the characteristic basal and midventricular segmental akinesis of this variant. This pattern is not associated with coronary artery distribution, and it therefore can be differentiated from coronary artery disease with the use of echocardiography, by evaluating the distribution and temporal changes of akinetic areas.

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