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Apical Hypertrophic Cardiomyopathy Masked by Takotsubo Syndrome

Elisa Gherbesi1,2, Vera Lucia Paiocchi1, Laura Anna Leo1

  • 1Cardiac Imaging Department, Fondazione Cardiocentro Ticino, Lugano, Switzerland.

Journal of Cardiovascular Echography
|January 15, 2021
PubMed

Insights

A 66-year-old female presented with chest pain and was diagnosed with Takotsubo syndrome. This condition initially masked the signs of apical hypertrophic cardiomyopathy on echocardiography.

Area of Science:

  • Cardiology
  • Cardiovascular Imaging

Background:

  • Takotsubo syndrome, also known as stress-induced cardiomyopathy, is a transient cardiac dysfunction.
  • Apical hypertrophic cardiomyopathy is a form of left ventricular hypertrophy predominantly affecting the apex.

Observation:

  • A 66-year-old female presented with acute chest pain to the emergency department.
  • Initial echocardiography revealed findings consistent with Takotsubo syndrome.

Findings:

  • Takotsubo syndrome can mimic other cardiac conditions, presenting a diagnostic challenge.
  • The characteristic features of apical hypertrophic cardiomyopathy were initially obscured by the presentation of Takotsubo syndrome.

Implications:

  • This case highlights the importance of considering differential diagnoses in patients presenting with chest pain.
  • Accurate differentiation between Takotsubo syndrome and hypertrophic cardiomyopathy is crucial for appropriate patient management and treatment.
  • Advanced imaging techniques and serial evaluations may be necessary to confirm the diagnosis in complex cases.

Keywords:
Apical hypertrophic cardiomyopathyTakotsubo cardiomyopathycardiac magnetic resonance imagingechocardiography

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