Reverse Takotsubo syndrome diagnosed with Tc-99m SPECT perfusion study
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We present a case of a critically ill man admitted to the intensive care unit with acute respiratory failure with anoxic encephalopathy and elevated cardiac biomarkers. The patient underwent myocardial perfusion scintigraphy demonstrating fixed midventricular and basal circumferential areas of hypoperfusion and hypokinesis with preservation of the ventricular apex. Due to the anatomical distribution of the specific defects a diagnosis of atypical stress-induced cardiomyopathy or reverse Takotsubo syndrome was made highlighting the importance of recognizing this uncommon entity when imaged by nuclear perfusion studies.
KeywordsSingle Photon Emission Compute Tomography Single Photon Emission Compute Tomography Imaging Myocardial Perfusion Scintigraphy Stress Cardiomyopathy Takotsubo Syndrome
Echocardiographic cine images, indicating basilar left ventricular hypokinesis (WMV 1833 kb)
Gated SPECT cine, demonstrating impaired wall motion/thickening throughout basilar regions (WMV 568 kb)
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