Fast 'wandering' Takotsubo syndrome: atypical mixed evolution from apical to mid-ventricular ballooning
| Autor: | Nicola Tarantino, Matteo Gravina, Dolores Russo, Vincenzo Manuppelli, Stefano Zicchino, Matteo Di Biase, Francesco Santoro, Luca Macarini, Grazia Casavecchia, Natale Daniele Brunetti, Antonio Ruggiero, Guglielmo Maulucci |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Chest Pain Time Factors Myocardial edema Magnetic Resonance Imaging Cine 030204 cardiovascular system & hematology Chest pain Risk Assessment Severity of Illness Index Ballooning Diagnosis Differential 03 medical and health sciences Basal (phylogenetics) Electrocardiography Ventricular Dysfunction Left 0302 clinical medicine Cardiac magnetic resonance imaging Takotsubo Cardiomyopathy Internal medicine Medicine Humans 030212 general & internal medicine Takotsubo syndrome Apical ballooning medicine.diagnostic_test business.industry Anatomy Syndrome Middle Aged Left ventricular contractility Cardiology Disease Progression Molecular Medicine Female medicine.symptom Cardiology and Cardiovascular Medicine business Emergency Service Hospital |
| Zdroj: | Future cardiology. 13(6) |
| ISSN: | 1744-8298 |
| Popis: | We report the case of a 53-year-old woman admitted for typical chest pain and a diagnosis of Takotsubo syndrome (TTS). Initial echocardiographic presentation was characterized by apical and mid-ventricular akinesis and basal hyper-kinesis. Unexpectedly, later after admission, echocardiography showed recovered apical akinesis with an apparent ‘migration’ of systolic dysfunction to mid-ventricular segment and hyper-kinesis of apical and basal segments. One week after admission, left ventricular contractility completely recovered and cardiac magnetic resonance imaging did not show signs of subendocardial late-enhancement and myocardial edema. Cases of TTS may therefore occasionally rapidly ‘wander’ within left ventricular segments, raising doubts over the so far used classification of left ventricular patterns of ballooning in subjects with TTS (typical/atypical). Apparently, different patterns can rapidly evolve into each other. The absence of late-enhancement at cardiac magnetic resonance imaging could hypothetically identify rapidly ‘wandering’ cases. |
| Databáze: | OpenAIRE |
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