Takotsubo cardiomyopathy

Discussion:

The findings are fairly typical for takotsubo CMP. Akinetic, "stunned" myocardium does not follow a vascular territory, instead, it follows LV anatomy - it contracts normally at the base with no contraction at the apex of LV. This results in a typical LV shape, named after the appearance of a Japanese octopus trap.

There were no signs of myocardial infarction (edema and/or late enhancement). The coronary arteries were in excellent, "mint" condition.

These findings, combined with the typical history of a very stressful moment or circumstances are typical for takotsubo cardiomyopathy.

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