Key result
A 67-year-old woman experienced a rare midventricular form of Takotsubo cardiomyopathy as a recurrence one year after an initial episode of typical apical ballooning, which was not prevented by chronic beta-blocker therapy.
Case Report (n=1)
No
Highlights the rare possibility of Takotsubo cardiomyopathy recurring in a variant region (midventricular) after an initial typical apical presentation.
Recurrent Takotsubo may present in variant forms despite beta-blockers; this case leaves open questions on recurrence patterns and prevention.
Takotsubo cardiomyopathy was first described in Japan and is characterized by transient left ventricular apical ballooning in the absence of a significant coronary artery disease.Caused by the clinical presentation including chest pain, electrocardiographic changes and elevated myocardial markers this syndrome is frequently misdiagnosed as an acute coronary syndrome. Recurrences of Takotsubo Cardiomyopathy, especially in variant regions of the left ventricle are rareWe describe a midventricular form of Takotsubo Cardiomyopathy as a recurrence 1 year after typical apical ballooning.
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Koeth et al. (2008) conducted a case report in Takotsubo cardiomyopathy (n=1). Takotsubo cardiomyopathy recurrence was evaluated. A 67-year-old woman experienced a rare midventricular form of Takotsubo cardiomyopathy as a recurrence one year after an initial episode of typical apical ballooning, which was not prevented by chronic beta-blocker therapy.