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Case Report
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| Mid-ventricular takotsubo: A case report | ||||||
| Sachin Kumar Amruthlal Jain1, Hrishabh Modi1, Timothy R Larsen1, Shukri David1 | ||||||
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1MD, Department of Cardiology, Providence Hospital & Medical Centres, Southfield, MI, USA.
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| How to cite this article: |
| Jain SKA, Modi H, Larsen TR, David S. Mid-ventricular takotsubo: A case report. International Journal of Case Reports and Images 2013;4(8):452–456. |
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Abstract
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Introduction:
Is mid-ventricular takotsubo really a variant? Takotsubo cardiomyopathy (TCM) most commonly presents with both mid-ventricular and apical segment hypokinesia. Less frequently, the apical segment is spared and this variant has been termed mid-ventricular takotsubo.
Case Report: We present a case of a 66-year-old female with chest pressure and abnormal electrocardiography and positive troponin. Recently her mother was placed in hospice. Echocardiogram showed severe systolic dysfunction. She underwent left heart catheterization which included left ventriculogram that showed normal coronaries and basilar and apical hyperkinesis and mid-ventricular hypokinesia suggestive of mid ventricular takotsubo. Conclusion: We suggest that TCM can be thought of as a continuum in which the mid-ventricular segment is hypokinetic first and then the apical portion becomes hypokinetic later. Moreover, mid-ventricular hypokinesia is a key to a diagnosis of TCM; regardless of the presence of apical dyskinesia. The TCM merely presents in different ways and that the mid-ventricular variant is not a different disease entity from typical TCM. | |
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Keywords:
Takotsubo cardiomyopathy (TCM), Mid-ventricular Takotsubo
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Author Contributions
Sachin Kumar Amruthlal Jain – Conception and design, Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published Hrishabh Modi – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published Timothy Larsen – Acquisition of date, Analysis and interpretations, Critical revision of the article, Final approval of the version to be published Shukri David – Acquisition of date, Analysis and interpretations, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Sachin Kumar Amruthlal Jain et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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