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Recurrent Takotsubo cardiomyopathy

Christopher D Maroules1, Nelle A Linz, Gilbert E Boswell

  • 1Department of Internal Medicine, Naval Medical Center San Diego, San Diego, CA 92134-5000, USA.

Journal of Cardiovascular Computed Tomography
|June 17, 2009
PubMed

Insights

This study details a case of Takotsubo Cardiomyopathy in a 71-year-old woman. Advanced imaging confirmed normal coronary arteries and characteristic left ventricular dysfunction.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Takotsubo Cardiomyopathy (TTC), also known as stress-induced cardiomyopathy, is a transient heart condition.
  • It is often triggered by emotional or physical stress and can mimic myocardial infarction.

Observation:

  • A 71-year-old woman presented with symptoms suggestive of cardiac distress.
  • Diagnostic workup included dual-source multidetector CT, cardiac MRI, and echocardiography.

Findings:

  • CT angiography revealed normal coronary arteries, ruling out obstructive coronary artery disease.
  • Cardiac MRI and echocardiography demonstrated classic findings of TTC: mid left ventricular hypokinesis and apical akinesis.
  • Three-dimensional imaging provided a detailed view of the abnormal ventricular wall motion.

Implications:

  • This case highlights the utility of multimodality imaging in diagnosing Takotsubo Cardiomyopathy.
  • Accurate diagnosis is crucial to differentiate TTC from acute coronary syndromes, guiding appropriate management and preventing unnecessary invasive procedures.

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