Takotsubo cardiomyopathy mimicking an apical hypertrophic cardiomyopathy
N Maurizi1, P Antiochos2, P Monney2
1Service of Cardiology, University Hospital of Lausanne, Lausanne, Switzerland. niccolo.maurizi@gmail.com.
Insights
Subacute Takotsubo cardiomyopathy mimicked apical hypertrophic cardiomyopathy in a 45-year-old woman presenting with chest pain. Cardiac MRI revealed transient apical hypertrophy and edema, which resolved within two months, confirming the diagnosis.
Area of Science:
- Cardiology
- Cardiovascular Imaging
Background:
- Takotsubo cardiomyopathy (TTC) can present with diverse clinical and imaging findings.
- Apical hypertrophic cardiomyopathy (HCM) is characterized by specific left ventricular abnormalities.
Abstract:
A 45-years old woman presented for dyspnea and cardiac chest pain. ECG showed deep T-wave inversion while CMR showed normal ejection fraction, hypertrophy and systolic obliteration of the apex suggesting apical HCM. Myocardial oedema was noted at the apex. Complete regression of hypertrophy and myocardial edema was observed after 2 months, and a final diagnosis of subacute Takotsubo was made.
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