Mid-ventricular Obstructive Cardiomyopathy after Takotsubo Cardiomyopathy

A 93-year-old woman was transferred to our hospital for lightheadedness. She had had Takotsubo cardiomyopathy for seven years. Transthoracic apical four-chamber echocardiography showed a large apical aneurysm. Pulsed-wave Doppler echocardiography at the left ventricular (LV) basal obstruction showed...

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Autores principales: Tabira, Akihisa, Misumi, Ikuo, Sato, Koji, Matsuda, Hirofumi, Iwasaki, Tomoko, Usuku, Hiroki, Tsujita, Kenichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484758/
https://www.ncbi.nlm.nih.gov/pubmed/36543216
http://dx.doi.org/10.2169/internalmedicine.1090-22
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author Tabira, Akihisa
Misumi, Ikuo
Sato, Koji
Matsuda, Hirofumi
Iwasaki, Tomoko
Usuku, Hiroki
Tsujita, Kenichi
author_facet Tabira, Akihisa
Misumi, Ikuo
Sato, Koji
Matsuda, Hirofumi
Iwasaki, Tomoko
Usuku, Hiroki
Tsujita, Kenichi
author_sort Tabira, Akihisa
collection PubMed
description A 93-year-old woman was transferred to our hospital for lightheadedness. She had had Takotsubo cardiomyopathy for seven years. Transthoracic apical four-chamber echocardiography showed a large apical aneurysm. Pulsed-wave Doppler echocardiography at the left ventricular (LV) basal obstruction showed flow directed from the apex to the base during systole and isovolumic relaxation time. The patient was therefore diagnosed with mid-ventricular obstructive cardiomyopathy with a large apical aneurysm and paradoxical flow. The present case suggests that Takotsubo cardiomyopathy may become mid-ventricular obstructive hypertrophic cardiomyopathy without change in its structure.
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spelling pubmed-104847582023-09-09 Mid-ventricular Obstructive Cardiomyopathy after Takotsubo Cardiomyopathy Tabira, Akihisa Misumi, Ikuo Sato, Koji Matsuda, Hirofumi Iwasaki, Tomoko Usuku, Hiroki Tsujita, Kenichi Intern Med Case Report A 93-year-old woman was transferred to our hospital for lightheadedness. She had had Takotsubo cardiomyopathy for seven years. Transthoracic apical four-chamber echocardiography showed a large apical aneurysm. Pulsed-wave Doppler echocardiography at the left ventricular (LV) basal obstruction showed flow directed from the apex to the base during systole and isovolumic relaxation time. The patient was therefore diagnosed with mid-ventricular obstructive cardiomyopathy with a large apical aneurysm and paradoxical flow. The present case suggests that Takotsubo cardiomyopathy may become mid-ventricular obstructive hypertrophic cardiomyopathy without change in its structure. The Japanese Society of Internal Medicine 2022-12-21 2023-08-15 /pmc/articles/PMC10484758/ /pubmed/36543216 http://dx.doi.org/10.2169/internalmedicine.1090-22 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Tabira, Akihisa
Misumi, Ikuo
Sato, Koji
Matsuda, Hirofumi
Iwasaki, Tomoko
Usuku, Hiroki
Tsujita, Kenichi
Mid-ventricular Obstructive Cardiomyopathy after Takotsubo Cardiomyopathy
title Mid-ventricular Obstructive Cardiomyopathy after Takotsubo Cardiomyopathy
title_full Mid-ventricular Obstructive Cardiomyopathy after Takotsubo Cardiomyopathy
title_fullStr Mid-ventricular Obstructive Cardiomyopathy after Takotsubo Cardiomyopathy
title_full_unstemmed Mid-ventricular Obstructive Cardiomyopathy after Takotsubo Cardiomyopathy
title_short Mid-ventricular Obstructive Cardiomyopathy after Takotsubo Cardiomyopathy
title_sort mid-ventricular obstructive cardiomyopathy after takotsubo cardiomyopathy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10484758/
https://www.ncbi.nlm.nih.gov/pubmed/36543216
http://dx.doi.org/10.2169/internalmedicine.1090-22
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