Three-dimensional echocardiographic assessment of left ventricular function in takotsubo cardiomyopathy

Mie Fujikawa1, Junji Iwasaka, Chihiro Oishi

  • 1Division of Cardiology, Second Department of Medicine, Kansai Medical University, 10-15 Fumizono-cho, Moriguchi 570-8507, Japan.

Heart and Vessels
|May 20, 2008
PubMed

Insights

Three-dimensional echocardiography (3DE) effectively assesses left ventricular (LV) function in takotsubo cardiomyopathy (TC). This imaging technique accurately evaluates regional wall motion abnormalities and LV volume, aiding TC diagnosis and management.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Takotsubo cardiomyopathy (TC) presents with symptoms mimicking acute myocardial infarction.
  • Accurate assessment of left ventricular (LV) function is crucial for TC diagnosis and management.

Observation:

  • An 82-year-old male patient with suspected acute myocardial infarction was diagnosed with TC.
  • Coronary angiography and left ventriculography (LVG) confirmed the TC diagnosis.

Findings:

  • Three-dimensional echocardiography (3DE) revealed characteristic circular asynergy from the midventricle to the apex.
  • 3DE demonstrated hyperkinesis of the LV base.
  • Volumetric data from 3DE closely matched those obtained by LVG.

Implications:

  • 3DE is a valuable tool for evaluating regional wall motion abnormalities in TC patients.
  • 3DE provides accurate LV volumetric assessment in TC.
  • This non-invasive imaging modality can aid in the diagnosis and monitoring of TC.

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