Key result
A man with no obvious trigger developed Takotsubo cardiomyopathy complicated by left ventricular thrombus and multiple emboli, which fully resolved with multimodality imaging guiding treatment.
Why the study?
Gaps remain in the exact mechanisms, predisposing factors, and predictors of recovery in Takotsubo cardiomyopathy, particularly in males where the condition occurs far less frequently than in females.
Case Report (n=1)
Highlights a rare presentation of Takotsubo cardiomyopathy in a male without an obvious trigger, complicated by LV thrombus and multiple emboli, demonstrating the utility of multimodality imaging in guiding management.
Answers are grounded in this paper and cite their sources.
Vigilance for emboli is prudent in atypical Takotsubo; leaves open the role of multimodality imaging in males without triggers.
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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Kalra et al. (2019) conducted a case report in Takotsubo Cardiomyopathy (n=1). Multimodality imaging (echocardiography, cardiac CT, cardiac MRI) was evaluated on Complete and full resolution. A man with no obvious trigger developed Takotsubo cardiomyopathy complicated by left ventricular thrombus and multiple emboli, which fully resolved with multimodality imaging guiding treatment.
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