LV systolic function, heavily compromised at presentation, improves rapidly in a period of days to weeks w1, 5–7x. Reports of Takotsubo syndrome after open cardiac surgery are few. It is possible that some cases of transient LV sphericalization after mitral valve replacement surgery described previously to the recognition of this phenomenon were cases of Takotsubo syndrome w2x. It is important ...

Cardiomyopathy is considered as a heart muscle disease of multiple aetiologies, unlike other cardiac diseases related to a definitive pathophysiology. With more and more research and with the advent of genetic analysis pin pointing the disease causing mutations, causative factors have been defined and classifications and definitions have changed over time. Patients with these conditions present...

We appreciate the thorough response given by Ponagmi et al. [1], who rightly point out that the pathophysiology and modifiable risk factors of Takotsubo Cardiomyopathy (TC) have yet to be unequivocally established. [...].

Using real-time 3D-speckle-tracking in the clinical course of Tako-Tsubo turned out as a quick and feasible tool for recognition and follow-up of wall motion abnormalities.

To cite: Wong GR, RobertsThomson R, Parvar SL, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2016-214503 DESCRIPTION A 55-year-old woman presented with chest pain following a high-speed motor vehicle accident. ECG revealed sinus rhythm with anterior lead ST depression. High-sensitivity troponin increased from baseline 58 to peak of 477 ng/L (normal <29 n...

Takotsubo cardiomyopathy (TCM) is an unusual form of acute cardiomyopathy showing left ventricular apical ballooning. It is often triggered by intense physical or emotional distress. We report here four cases of TCM and a review of the literature on the topic.

Case. A 64-year-old Caucasian woman was brought to the emergency department with severe dysphagia and left chest pain for last 4 days. Initial evaluation revealed elevated ST segment in precordial leads on EKG with elevated cardiac enzymes. Limited echocardiogram showed infra-apical wall hypokinesia. Cardiac angiography was done subsequently which showed nonflow limiting mild coronary artery di...

Background. Takotsubo cardiomyopathy is defined as a transient left ventricular dysfunction, usually accompanied by electrocardiographic changes. The literature documents only two other cases of Takotsubo cardiomyopathy in the latter setting. Methods. A 78-year-old female presented to the ED with severe shortness of breath, hypertension, and tachycardia. On physical exam, heart sounds (S1 and S...

Stress-related cardiomyopathies can be observed in the four following situations: Takotsubo cardiomyopathy or apical ballooning syndrome; acute left ventricular dysfunction associated with subarachnoid hemorrhage; acute left ventricular dysfunction associated with pheochromocytoma and exogenous catecholamine administration; acute left ventricular dysfunction in the critically ill. Cardiac toxic...

A patient with end-stage liver disease developed stress-induced Takotsubo cardiomyopathy post liver transplantation, with haemodynamic instability requiring a left ventricular assist device. We discuss the diagnosis and management of this condition.