Cardiologia Clínica e Experimental
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Takotsubo Cardiomyopathy a Case Report: Ballooning outside the Apex?

George Ashley Semien, Humberto Machado, Rafael Cabrales, Wagih Gobrial

Takotsubo’s cardiomyopathy is characterized as per Mayo criteria by transient wall motion abnormalities involving the left ventricular apex and mid-ventricle in the absence of obstructive epicardial coronary artery disease and pheochromocytoma or myocarditis as well as new electrocardiographic abnormalities. Recent literature has suggested a variance in segments involved in this stress induced cardiomyopathy. This case illustrates not only classic left apical and mid-ventricular involvement but also a reduction in basal contractility (compared to normal strain numbers by segment) as measured by strain.