Echocardiography in stress cardiomyopathy and acute LVOT obstruction

  • Anand ChockalingamEmail author
  • Gong-Yuan Xie
  • Kevin C. Dellsperger


Widespread use of echocardiography has contributed to more frequent recognition of takotsubo stress cardiomyopathy. Initial presentation is similar to acute coronary syndrome and the acute course can be complicated by heart failure, arrhythmias, dynamic left ventricular outflow tract obstruction, hypotension and death. We briefly review the clinical presentation and propose a unified diagnostic algorithm for cardiologists acutely managing this cardiac emergency. We highlight the central role of echocardiography and emphasize the nuances of this peculiar acute cardiomyopathy from an echocardiographers’ perspective.


Stress cardiomyopathy LV outflow obstruction Echocardiography 


Funding sources

VISN 15 Veterans Administration Research award to A Chockalingam.

Supplementary material

Supplementary material 1 (WMV 501 kb)

Supplementary material 2 (WMV 447 kb)


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Copyright information

© Springer Science+Business Media, B.V. 2010

Authors and Affiliations

  • Anand Chockalingam
    • 1
    • 2
    Email author
  • Gong-Yuan Xie
    • 1
  • Kevin C. Dellsperger
    • 1
    • 3
  1. 1.Division of Cardiovascular Medicine, Department of Internal MedicineUniversity of MissouriColumbiaUSA
  2. 2.Cardiology SectionHarry S Truman VA Medical CenterColumbiaMOUSA
  3. 3.Center for Health Care QualityUniversity of MissouriColumbiaUSA

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