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Visually confirmed post-systolic shortening during the recovery period in four cases of Takotsubo cardiomyopathy

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Abstract

We report visually confirmed post-systolic shortening (PSS) during the recovery period and the relationship between PSS and electrocardiographic abnormalities in 4 cases of Takotsubo cardiomyopathy (TTC). In these 4 cases, the appearance of visually confirmed PSS during the recovery period coincided with observation of the deepest T wave and the longest QT interval. The transmural repolarization gradient and heterogeneous duration of myocardial contractions may cause PSS in the TTC recovery period.

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References

  1. Heggemann F, Weis C, Hamm K, et al. Global and regional myocardial function quantification by two-dimensional strain in Takotsubo cardiomyopathy. Eur J Echocardiogr. 2009;10:760–4.

    Article  PubMed  Google Scholar 

  2. Laurita KR, Girouard SD, Rosenbaum DS. Modulation of ventricular repolarization by a premature stimulus role of epicardial dispersion of repolarization kinetics demonstrated by optical mapping of the intact guinea pig heart. Circ Res. 1996;79:493–503.

    Article  CAS  PubMed  Google Scholar 

  3. Haugaa KH, Edvardsen T, Leren TP, et al. Left ventricular mechanical dispersion by tissue Doppler imaging: a novel approach for identifying high-risk individuals with long QT syndrome. Eur Heart J. 2009;30:330–7.

    Article  PubMed Central  PubMed  Google Scholar 

  4. De Ferrari GM, Nador F, Beria G, et al. Effect of calcium channel block on the wall motion abnormality of the idiopathic long QT syndrome. Circulation. 1994;89:2126–32.

    Article  PubMed  Google Scholar 

  5. Asanuma T, Fukuta Y, Masuda K, et al. Assessment of myocardial ischemic memory using speckle tracking echocardiography. JACC Cardiovasc Imaging. 2012;5:1–11.

    Article  PubMed  Google Scholar 

  6. Sakurai D, Asanuma T, Masuda K, et al. Myocardial layer-specific analysis of ischemic memory using speckle tracking echocardiography. Int J Cardiovasc Imaging. 2014;30:739–48.

    Article  PubMed  Google Scholar 

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Conflict of interest

Kazuaki Tanabe received lecture fees from Toshiba Medical Systems Corporation. Hirotomo Sato, Hiroyuki Yoshitomi, Nobuhide Watanabe, Tomoko Adachi, Saki Ito, and Kazuto Yamaguchi declare that they have no conflict of interest.

Human rights statement

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000(5).

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Informed consent was obtained from all patients for being included in the study.

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Correspondence to Kazuaki Tanabe.

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Sato, H., Yoshitomi, H., Watanabe, N. et al. Visually confirmed post-systolic shortening during the recovery period in four cases of Takotsubo cardiomyopathy. J Echocardiogr 12, 159–161 (2014). https://doi.org/10.1007/s12574-014-0231-3

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  • DOI: https://doi.org/10.1007/s12574-014-0231-3

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