Midventricular Takotsubo Cardiomyopathy Following COVID-19 Infection: Diagnostic Role of Cardiac Magnetic Resonance Tissue Mapping

Takotsubo cardiomyopathy is typically characterized by reversible apical left ventricular (LV) akinesis, while atypical phenotypes involve the mid or basal segments. We describe the case of a 49-year-old woman with viral gastroenteritis and decompensated heart failure. Following normal coronary angiogram, an echocardiogram showed severe LV hypokinesis with circumferential dyskinesis in the midsegments consistent with atypical Takotsubo cardiomyopathy. Subsequent cardiac magnetic resonance (CMR) imaging revealed markedly improved LV function with diffuse myocardial edema in the mid and apical segments on tissue characterization.

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Journal
CJC Open
Published
2024-11-26
DOI
https://doi.org/10.1016/j.cjco.2024.11.016
Primary Topic
Takotsubo Cardiomyopathy and Associated Phenomena
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article
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article

Midventricular Takotsubo Cardiomyopathy Following COVID-19 Infection: Diagnostic Role of Cardiac Magnetic Resonance Tissue Mapping

Aun‐Yeong Chong, Yoshito Kadoya, Bethlehem Mengesha, D. Ian Paterson et al.
CJC Open
Takotsubo Cardiomyopathy and Associated Phenomena
article

Midventricular Takotsubo Cardiomyopathy Following COVID-19 Infection: Diagnostic Role of Cardiac Magnetic Resonance Tissue Mapping

Aun‐Yeong Chong, Yoshito Kadoya, Bethlehem Mengesha, D. Ian Paterson, Luc Beauchesne, Marino Labinaz
article en

Abstract

Takotsubo cardiomyopathy is typically characterized by reversible apical left ventricular (LV) akinesis, while atypical phenotypes involve the mid or basal segments. We describe the case of a 49-year-old woman with viral gastroenteritis and decompensated heart failure. Following normal coronary angiogram, an echocardiogram showed severe LV hypokinesis with circumferential dyskinesis in the midsegments consistent with atypical Takotsubo cardiomyopathy. Subsequent cardiac magnetic resonance (CMR) imaging revealed markedly improved LV function with diffuse myocardial edema in the mid and apical segments on tissue characterization.

CJC OpenVol. 7(2)
University of Ottawa (CA)
Good health and well-being
Openalex Percentile: Top 60%
Takotsubo Cardiomyopathy and Associated Phenomena
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