TITLE:
Rapid reversibility of Takotsubo cardiomyopathy
AUTHORS:
Fathia Mghaieth Zghal, Ramy Trabelsi, Sihem Mbarki, Mohamed Sami Mourali, Rachid Mechmeche
KEYWORDS:
Apical Ballooning; Takotsubo Cardiomyopathy; Early Recovery
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.2 No.1,
December
31,
2011
ABSTRACT: Background: In Takotsubo cardiomyopathy (TCM), left ventricular dysfunction is usually reversible within a few weeks. Complete recovery can however be very rapid. We report the case of Mrs. TA, a 53 year old patient who had a history of hypertension treated with atenolol and captopril. She was admitted with the diagnosis of non ST segment elevation myo-cardial infarction. The electrocardiogram showed anterior sub and the troponinI level was 3.48 mg/l. Echo-cardiography revealed a left ventricular (LV) ballooning and LV ejection fraction was 36%. A recent emotional stress was mentioned. TCM was suspected and emergency angiography showed apical ballooning with a normal coronary angiogram. There was a complete recovery in 72 hours with a normalization of regional and global LV function at echocardiography and angiography. Conclusion: There is a large variability in TCM evolution aspects probably due to a variable physiopathological mechanism which remains to be clarified.