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KMID : 0882420090760060746
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Korean Journal of Medicine
2009 Volume.76 No. 6 p.746 ~ p.751
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A case of stress-induced cardiomyopathy with an “inverted Takotsubo” contractile pattern
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Lim Sang-Woo
Chun Woo-Jung
Park Geon-Tae
Song Jun-Hwl
Park Yong-Hwan
Oh Ju-Hyun
Park Yong-Whi
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Abstract
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Stress-induced cardiomyopathy, known as Takotsubo cardiomyopathy, is a newly described clinical entity characterized by transient left ventricular apical ballooning and left ventricular apical dyskinesis, with no significant stenosis on the coronary angiogram. We describe a patient who had transient cardiomyopathy with akinesia of the basal portions of the left ventricle and hyperkinesia of the apex. This is the first case of stress-induced cardiomyopathy with an “inverted Takotsubo” contractile pattern triggered by emotional stress in Korea. The cause of stress-induced cardiomyopathy is unclear, but catecholamines probably play a role in this syndrome. This entity could provide clues to the pathophysiology underlying stress-induced cardiomyopathy.
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KEYWORD
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Inverted Takotsubo, Basal ballooning syndrome, Stress induced cardiomyopathy
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