, Volume 26, Issue 2, pp 237-240
Date: 29 Dec 2009

Use of cardiac magnetic resonance imaging in the diagnosis of Takotsubo cardiomyopathy: another imaging feature added

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Takotsubo cardiomyopathy, also known as apical ballooning syndrome, is a relatively rare acute cardiac syndrome which has a pathophysiology which is not well understood. Patients with this disorder (which is named after the Japanese word for an octopus trap which has a shape that resembles the apical ballooning) often present after an emotionally or physically stressful event with chest pain, electrocardiographic changes, and mild elevation of cardiac markers which are suggestive of an acute coronary syndrome. However, upon angiography, no obstructive coronary artery disease is identified. In the acute setting, echocardiography or ventriculography typically show an aneurysmal or dyskinetic apex and mid ventricle with preserved or hyperdynamic function at the basal ventricular level.

Interestingly, these marked changes are usually completely reversible and the majority of patients experience complete recovery and have a good long term prognosis. Nevertheless, numerous associated complica

Editorial comment on the article of Joshi et al. (doi: 10.1007/s10554-009-9515-5).