A case of stress-induced cardiomyopathy with an "inverted Takotsubo" contractile pattern.
- Author:
Sang Woo YIM
1
;
Woo Jung CHUN
;
Ju Hyun OH
;
Yongwhi PARK
;
Yongwhan PARK
;
Geon Tae PARK
;
Jun Hwi SONG
Author Information
1. Department of Internal Medicine, Sungkyunkwan University School of Medicine, Masan Samsung Medical Center, Masan, Korea. saintjmm@naver.com
- Publication Type:Case Report
- Keywords:
Inverted Takotsubo;
Basal ballooning syndrome;
Stress induced cardiomyopathy
- MeSH:
Cardiomyopathies;
Catecholamines;
Constriction, Pathologic;
Heart Ventricles;
Humans;
Hyperkinesis;
Korea;
Stress, Psychological;
Takotsubo Cardiomyopathy
- From:Korean Journal of Medicine
2009;76(6):746-751
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Stress-induced cardiomyopathy, known as Takotsubo cardiomyopathy, is a newly described clinical entity characterized by transient left ventricular apical ballooning and left ventricular apical dyskinesis, with no significant stenosis on the coronary angiogram. We describe a patient who had transient cardiomyopathy with akinesia of the basal portions of the left ventricle and hyperkinesia of the apex. This is the first case of stress-induced cardiomyopathy with an "inverted Takotsubo" contractile pattern triggered by emotional stress in Korea. The cause of stress-induced cardiomyopathy is unclear, but catecholamines probably play a role in this syndrome. This entity could provide clues to the pathophysiology underlying stress-induced cardiomyopathy.
