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August 1, 2005Echocardiography

Transient Left Ventricular Basal Dysfunction without Coronary Stenosis in Acute Cerebral Disorders: A Novel Heart Syndrome (Inverted Takotsubo)

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Population

4 patients with acute cerebral disorders presenting with myocardial dysfunction without coronary involvement

Design

Case_series

Authors

PEPierre Vladimir EnnezatCentre Hospitalier Universitaire Henri-MondorDPD. Pesenti-RossiClinique Ambroise ParéJAJ AubertCentre Hospitalier de Valenciennes

Discussion

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Implication

Inverted Takotsubo may accompany acute cerebral disorders; case reports leave open whether neurological evaluation should become routine.

Key Points

  • Characterize a novel pattern of reversible left ventricular dysfunction occurring in the setting of acute cerebral disorders without significant coronary artery disease.
  • Evaluated 4 clinical cases presenting with acute cerebral disorders and acute echocardiographic cardiac abnormalities.
  • Assessed coronary artery anatomy and regional left ventricular wall motion.
  • Echocardiograms demonstrated extensive left ventricular circumferential akinesis that spared the apex across all 4 patients.
  • Coronary evaluation confirmed the absence of obstructive coronary disease in 3 of the 4 patients.

Structured PICO

P
Population
4 patients with acute cerebral disorders presenting with myocardial dysfunction without coronary involvement
O
Outcome
Echocardiographic pattern of left ventricular dysfunctionsurrogate

A pattern of extensive left ventricular circumferential akinesis except at the apex (inverted Takotsubo) can occur in acute cerebral disorders and should prompt neurological evaluation.

Cite This Study

Ennezat et al. (2005) studied this question.

synapsesocial.com/papers/6a7dda7b2d182a3d7e99ab62https://doi.org/10.1111/j.1540-8175.2005.40046.x

Topics

Echocardiography
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Intraoperative “Broken Heart” Cardiomyopathy with an “Inverted” Takotsubu Pattern2011 · 3 citations
  2. 2Takotsubo Cardiomyopathy in a Case of Intracerebral Hemorrhage: A Case Report2019 · 7 citations
  3. 3Intracranial bleeding mimicking an extensive acute myocardial infarction with reversible apical ballooning and systolic left ventricular dysfunction. A case report2016 · 10 citations
  4. 4Reversible Left Ventricular Systolic Dysfunction-Reversibility of Coronary Microvascular Abnormality.2001 · 68 citations
  5. 5Stress Cardiomyopathy with an “Inverse” Takotsubo Pattern in a Patient with Acute Aneurysmal Subarachnoid Hemorrhage2013 · 19 citations