Pseudo-apical hypertrophic cardiomyopathy phenotype in Takotsubo cardiomyopathy

Takotsubo cardiomyopathy can exhibit transient apical wall thickening during recovery, leading to a phenotypic overlap with apical hypertrophic cardiomyopathy. This pseudo-hypertrophic appearance is due to reversible myocardial oedema rather than genuine sarcomeric hypertrophy. We present a case demonstrating this diagnostic challenge and emphasising the importance of serial cardiac magnetic resonance imaging with tissue characterisation.