Takotsubo cardiomyopathy mimicking an apical hypertrophic cardiomyopathy

Int J Cardiovasc Imaging. 2024 May 4. doi: 10.1007/s10554-024-03109-8. Online ahead of print.

Abstract

A 45-years old woman presented for dyspnea and cardiac chest pain. ECG showed deep T-wave inversion while CMR showed normal ejection fraction, hypertrophy and systolic obliteration of the apex suggesting apical HCM. Myocardial oedema was noted at the apex. Complete regression of hypertrophy and myocardial edema was observed after 2 months, and a final diagnosis of subacute Takotsubo was made.

Keywords: Cardiac magnetic resonance; Hypertrophic cardiomyopathy; Takotsubo.