- 期刊
- OpenAccess
Mid-Ventricular Takotsubo: A Case Report
並列摘要
Introduction: Is mid-ventricular takotsubo really a variant? Takotsubo cardiomyopathy (TCM) most commonly presents with both midventricular and apical segment hypokinesia. Less frequently, the apical segment is spared and this variant has been termed mid-ventricular takotsubo. Case Report: We present a case of a 66-year-old female with chest pressure and abnormal electrocardiography and positive troponin. Recently her mother was placed in hospice. Echocardiogram showed severe systolic dysfunction. She underwent left heart catheterization which included left ventriculogram that showed normal coronaries and basilar and apical hyperkinesis and midventricular hypokinesia suggestive of mid ventricular takotsubo. Conclusion: We suggest that Takotsubo cardiomyopathy (TCM) can be thought of as a continuum in which the midventricular segment is hypokinetic first and then the apical portion becomes hypokinetic later. Moreover, mid-ventricular hypokinesia is a key to a diagnosis of TCM; regardless of the presence of apical dyskinesia. The TCM merely presents in different ways and that the mid-ventricular variant is not a different disease entity from typical TCM.