Key result
Cardiac magnetic resonance imaging successfully identified wall motion abnormalities, patchy wall edema, and absence of late gadolinium enhancement, confirming the diagnosis of Takotsubo cardiomyopathy.
Case Report (n=1)
No
CMR is a valuable imaging modality for diagnosing Takotsubo Cardiomyopathy by detecting wall motion abnormalities, myocardial edema, and the absence of late gadolinium enhancement.
CMR may aid Takotsubo diagnosis when echocardiography is inconclusive; leaves open need for prospective validation before routine use.
We present a case of Takotsubo Cardiomyopathy (TC) which is a non ischemic cardiomyopathy. It is stress related and also known as broken heart syndrome. The patient presented to our emergency department with symptoms of chest pain and breathlessness. The patient was diagnosed as acute coronary syndrome and various tests including ECG, Screening ECHO, Coronary CT and Cardiac Magnetic Resonance (CMR) were done before arriving at the diagnosis of TC. Currently CMR is the modality of choice as it detects the wall motion abnormalities (WMA), presence of wall edema and late gadolinium enhancement (LGE) characteristics can be well appreciated. No intervention was done and the case was managed medically.
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Subbaraman et al. (2021) conducted a case report in Takotsubo Cardiomyopathy (n=1). Cardiac Magnetic Resonance (CMR) was evaluated. Cardiac magnetic resonance imaging successfully identified wall motion abnormalities, patchy wall edema, and absence of late gadolinium enhancement, confirming the diagnosis of Takotsubo cardiomyopathy.
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