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Inverted Takotsubo cardiomyopathy masking acute myocardial infarction

Morikazu Nishihira1, Satoshi Nakatani2, Yoichiro Kasahara1

  • 1Department of Cardiology, National Cardiovascular Center, Suita, Japan.

Journal of Echocardiography
|June 10, 2016
PubMed

We report a case of inverted Takotsubo cardiomyopathy masking acute myocardial infarction. In this case, echocardiography on admission showed left ventricular mid and basal akinesis and apical hyperkinesis compatible with an inverted Takotsubo contractile pattern. In the subacute phase, however, he was suspected of having acute myocardial infarction by serial changes of cardiac enzymes. After 8 days of admission, echocardiography showed normalization of the left ventricular contraction, except the inferior wall which was compatible with inferior myocardial infarction. Subsequent myocardial scintigraphy confirmed the diagnosis. It is important to recognize that inverted Takotsubo cardiomyopathy may mask acute myocardial infarction when they occur simultaneously.

Keywords:
Acute myocardial infarctionEchocardiographyInverted Takotsubo cardiomyopathyVasospasm

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