The dramatic ECG changes of hypertrophic obstructive cardiomyopathy mimicking Takotsubo cardiomyopathy: a case report
Why the study?
ST-elevation and echocardiographic features mimicking STEMI, myocarditis, or takotsubo cardiomyopathy can occur in hypertrophic cardiomyopathy, prompting evaluation of these dramatic ECG changes.
Population
A 78-year-old female presenting with shortness of breath, palpitations, back pain, hypotension, and ST elevation
Design
Case report
Follow-up
2 weeks
Authors
Discussion
Loading...
Member takes
Implication
Hypertrophic obstructive cardiomyopathy can cause dramatic ECG and echocardiographic changes that mimic Takotsubo cardiomyopathy, particularly during the acute dynamic phase of LVOT obstruction.
Structured PICO
P
Population
78-year-old female presenting with shortness of breath, palpitations, and back pain radiating to both arms, hypotensive, with ST elevation, R wave, and T wave inversion in the anteroinferior leads, elevated NTpro-BNP and hs-TnT.
I
Intervention
Diagnostic evaluation including ECG, echocardiography, coronary angiography, and cardiac magnetic resonance (CMR) imaging.
O
Outcome
Diagnosis of the underlying cause of the dramatic ECG and echocardiographic changes.
Hypertrophic obstructive cardiomyopathy can cause dramatic ECG and echocardiographic changes that mimic Takotsubo cardiomyopathy, particularly during the acute dynamic phase of LVOT obstruction.
Cite This Study
Lukito et al. (2025) studied this question.