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01-12-2009 | Nuclear Cardiology Bullet

Reverse Takotsubo syndrome diagnosed with Tc-99m SPECT perfusion study

Authors: Michael Davis, MD, Charles Hardebeck, MD

Published in: Journal of Nuclear Cardiology | Issue 6/2009

Excerpt

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. …

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Tsuchihashi K, Ueshima K, Uchida T, et al. Transient left ventricular apical ballooning without coronary artery stenosis: A novel heart syndrome mimicking acute myocardial infarction. Angina pectoris-myocardial infarction investigations in Japan. J Am Coll Cardiol 2001;38:11-8.CrossRefPubMed

Bybee KA, Kara T, Prasad A, et al. Systematic review: Transient left ventricular apical ballooning: A syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med 2004;141:858-65.PubMed

Ito K, Sugihara H, Kinoshita N, Azuma A, Matsubara H. Assessment of Takotsubo cardiomyopathy (transient left ventricular apical ballooning) using 99mTc-tetrofosmin, 123I-BMIPP, 123I-MIBG and 99mTc-PYP myocardial SPECT. Ann Nucl Med 2005;19:435-45.CrossRefPubMed

Alexanderson E, Cruz P, Talayero JA, Damas F, Zeron J, Meave A. Transient perfusion and motion abnormalities in takotsubo cardiomyopathy. J Nucl Cardiol 2007;14:129-33.CrossRefPubMed

Ennezat PV, Pesenti-Rossi D, Aubert JM, et al. Transient left ventricular basal dysfunction without coronary stenosis in acute cerebral disorders: A novel heart syndrome (inverted Takotsubo). Echocardiography 2005;22:599-602.CrossRefPubMed

Haghi D, Papavassiliu T, Fluchter S, et al. Variant form of the acute apical ballooning syndrome (takotsubo cardiomyopathy): Observations on a novel entity. Heart 2006;92:392-4.CrossRefPubMed

Sanchez-Recalde A, Costero O, Oliver JM, Iborra C, Ruiz E, Sobrino JA. Images in cardiovascular medicine. Pheochromocytoma-related cardiomyopathy: Inverted Takotsubo contractile pattern. Circulation 2006;113:e738-9.CrossRefPubMed

Van de Walle SO, Gevaert SA, Gheeraert PJ, De Pauw M, Gillebert TC. Transient stress-induced cardiomyopathy with an “inverted takotsubo” contractile pattern. Mayo Clin Proc 2006;81:1499-502.CrossRefPubMed

Movahed M, Mostafizi K. Reverse or inverted left ventricular apical ballooning syndrome (reverse takotsubo cardiomyopathy) in a young woman in the setting of amphetamine use. Echocardiography 2008;25:429-32.CrossRefPubMed

10.

Derian W, Soundarraj D, Rosenberg MJ. Stress-induced cardiomyopathy: Not always apical ballooning. Rev Cardiovasc Med 2007;8:228-33.PubMed

11.

Ward RP, Pokharna HK, Lang RM, Williams KA. Resting “Solar Polar” map pattern and reduced apical flow reserve: Characteristics of apical hypertrophic cardiomyopathy on SPECT myocardial perfusion imaging. J Nucl Cardiol 2003;10:506-12.CrossRefPubMed

Title: Reverse Takotsubo syndrome diagnosed with Tc-99m SPECT perfusion study
Authors: Michael Davis, MD
Charles Hardebeck, MD
Publication date: 01-12-2009
Publisher: Springer-Verlag
Published in: Journal of Nuclear Cardiology / Issue 6/2009
Print ISSN: 1071-3581
Electronic ISSN: 1532-6551
DOI: https://doi.org/10.1007/s12350-009-9089-6

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Reverse Takotsubo syndrome diagnosed with Tc-99m SPECT perfusion study

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