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.
Authors
- Ibrahim Antoun (ORCID: https://orcid.org/0000-0002-4374-7476)
- Sanjay Bhandari (ORCID: https://orcid.org/0000-0002-7604-745X)
Institutions
- Glenfield Hospital (GB)
- University Hospitals of Leicester NHS Trust (GB)
- NIHR Leicester Cardiovascular Biomedical Research Unit (GB)
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