Takotsubo cardiomyopathy (echocardiography)

Discussion:

Hypokinesis and ballooning of the left ventricular apical segments is consistent with Takotsubo cardiomyopathy. This is especially so, considering the spontaneous recovery of myocardial function. Takotsubo cardiomyopathy occurs most commonly in post-menopausal women, following a stressful event (emotional or physical).

Echocardiography has the advantage of portability and is ideal in acutely ill patients. In selected patients, cardiac MRI is advantageous as good visualization of the apex is provided (the apex can be difficult to visualize on echo). Cardiac MRI also allows exclusion of alternative causes of dyskinesis eg myocardial infarction or myocarditis.

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