Not all that thickens is hypertrophic cardiomyopathy: a case report of unusual Takotsubo cardiomyopathy

This case underscores the diagnostic complexity at the intersection of TTC, myocardial infarction with non-obstructive coronary arteries, and HCM mimics. Cardiac magnetic resonance was pivotal in revealing myocardial oedema and excluding infarction or fibrosis. Reversible wall thickening in TTC may resemble apical HCM, a phenomenon termed pseudohypertrophy. Takotsubo cardiomyopathy should remain a key differential despite angiographic findings. Early multimodal imaging is crucial for avoiding misdiagnosis and guiding appropriate management.

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Publication Details

Journal
European Heart Journal - Case Reports
Published
2025-08-29
DOI
https://doi.org/10.1093/ehjcr/ytaf427
Citations
1
Primary Topic
Takotsubo Cardiomyopathy and Associated Phenomena
Type
article
Field-Weighted Citation Impact
1.39
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article

Not all that thickens is hypertrophic cardiomyopathy: a case report of unusual Takotsubo cardiomyopathy

Ibrahim Antoun, Sanjay Bhandari
1 citations
European Heart Journal - Case Reports
Takotsubo Cardiomyopathy and Associated Phenomena
1.39
article

Not all that thickens is hypertrophic cardiomyopathy: a case report of unusual Takotsubo cardiomyopathy

Ibrahim Antoun, Sanjay Bhandari
article en
1 citations

Abstract

This case underscores the diagnostic complexity at the intersection of TTC, myocardial infarction with non-obstructive coronary arteries, and HCM mimics. Cardiac magnetic resonance was pivotal in revealing myocardial oedema and excluding infarction or fibrosis. Reversible wall thickening in TTC may resemble apical HCM, a phenomenon termed pseudohypertrophy. Takotsubo cardiomyopathy should remain a key differential despite angiographic findings. Early multimodal imaging is crucial for avoiding misdiagnosis and guiding appropriate management.

European Heart Journal - Case ReportsVol. 9(9)
Glenfield Hospital (GB), University Hospitals of Leicester NHS Trust (GB), NIHR Leicester Cardiovascular Biomedical Research Unit (GB)
Openalex Percentile: Top 15%
Takotsubo Cardiomyopathy and Associated Phenomena
1.39
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