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Updated: Jul 5, 2026

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
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.
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.
Abstract:
We evaluated left ventricular (LV) function by three-dimensional echocardiography (3DE) in a patient with takotsubo cardiomyopathy (TC). An 82-year-old man was admitted to our hospital with a suspicion of acute myocardial infarction but was diagnosed as TC by coronary angiography and left ventriculography (LVG). Three-dimensional echocardiography showed circular asynergy from the midventricle to the apex associated with hyperkinesis of the base and volumetric data very close to those obtained by LVG. Thus, 3DE is a useful tool in evaluating regional wall motion abnormalities and LV volume in patients with TC.
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