Takotsubo Syndrome Mimicking Apical Hypertrophic Cardiomyopathy: A Case Report

Takotsubo syndrome (TTS) is a reversible form of cardiomyopathy that is triggered by emotional or physical stress, leading to a typical image of apical ballooning. In contrast, apical hypertrophic cardiomyopathy (ApHCM) is a condition characterized by thickening of the left ventricular (LV) apical wall and obliteration of the LV apex. Although both conditions result in opposing imaging features, they can significantly overlap, especially in the early stages of the disease. This report describes a case of a 66-year-old woman whose initial presentation was consistent with TTS but later raised suspicion of an ApHCM phenotype.