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Takotsubo cardiomyopathy in a man with no trigger and multiple cardioembolic complications-A rare constellation. | LitMetric

AI Article Synopsis

  • * TC typically resolves within weeks and has a better prognosis than acute coronary syndromes, but about 1% of cases can lead to serious complications like left ventricular thrombus.
  • * An unusual case of a man with TC, who experienced complications but fully recovered, highlights the importance of advanced imaging techniques like echocardiography and cardiac MRI for diagnosis and treatment planning.

Article Abstract

Takotsubo Cardiomyopathy (TC) is an uncommon, transient, reversible cardiomyopathy, with a classic pattern of wall-motion abnormalities, usually seen in women after an emotional stressor. Despite its increased recognition, there remain gaps in the exact mechanisms, predisposing factors, and predictors of recovery; this is particularly true for males where the condition occurs far less frequently than in females. TC typically resolves within weeks, and the prognosis is favorable compared to acute coronary syndromes. Nonetheless, about 1% of cases may be complicated by left ventricular (LV) thrombus and embolism. Herein we describe an atypical case of a man with no obvious trigger, who developed TC with left ventricular thrombus and multiple embolic complications, but subsequently showed complete and full resolution. Multimodality imaging including echocardiography, cardiac CT and cardiac MRI was instrumental in this diagnostic dilemma, as well as useful in guiding treatment options and informing prognosis.

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Source
http://dx.doi.org/10.1111/echo.14333DOI Listing

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