Hypertrophic Obstructive Cardiomyopathy Masked by Tako-Tsubo Syndrome: A Case Report
Introduction. Left ventricular outflow obstruction might be part of the pathophysiological mechanism of Tako-tsubo cardiomyopathy. This obstruction can be masked by Tako-tsubo cardiomyopathy and diagnosed only by followup. Case Presentation. A 70-year-old female presented with Tako-tsubo cardiomyopa...
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Wiley
2012-01-01
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Series: | Case Reports in Cardiology |
Online Access: | http://dx.doi.org/10.1155/2012/486427 |
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author | Y. Daralammori M. El Garhy M. R. Gayed A. Farah B. Lauer M. A. Secknus |
author_facet | Y. Daralammori M. El Garhy M. R. Gayed A. Farah B. Lauer M. A. Secknus |
author_sort | Y. Daralammori |
collection | DOAJ |
description | Introduction. Left ventricular outflow obstruction might be part of the pathophysiological mechanism of Tako-tsubo cardiomyopathy. This obstruction can be masked by Tako-tsubo cardiomyopathy and diagnosed only by followup. Case Presentation. A 70-year-old female presented with Tako-tsubo cardiomyopathy and masked obstructive hypertrophic cardiomyopathy at presentation. Conclusion. Tako-tsubo cardiomyopathy typically presents like an acute MI and is characterized by severe, but transient, regional left ventricular systolic dysfunction. Prompt evaluation of the coronary status is, therefore, mandatory. The prognosis under medical treatment of heart failure symptoms and watchful waiting is favourable. Previous studies showed that LVOT obstruction might be part of the pathophysiological mechanism of TCM. This paper supports this theory. However, TCM may also mask any preexisting LVOT obstruction. |
format | Article |
id | doaj-art-8966a1c245ce48788787a1a67f8f2199 |
institution | Kabale University |
issn | 2090-6404 2090-6412 |
language | English |
publishDate | 2012-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Cardiology |
spelling | doaj-art-8966a1c245ce48788787a1a67f8f21992025-02-03T01:31:08ZengWileyCase Reports in Cardiology2090-64042090-64122012-01-01201210.1155/2012/486427486427Hypertrophic Obstructive Cardiomyopathy Masked by Tako-Tsubo Syndrome: A Case ReportY. Daralammori0M. El Garhy1M. R. Gayed2A. Farah3B. Lauer4M. A. Secknus5Department of Cardiology, Heart Center, Zentralklinik Bad Berka, Robert-Koch-Allee 9, 99437 Bad Berka, GermanyDepartment of Cardiology, Minia University, Kornish El Nil Street 6111, Minia, EgyptDepartment of Cardiology, Heart Center, Zentralklinik Bad Berka, Robert-Koch-Allee 9, 99437 Bad Berka, GermanyDepartment of Cardiology, Heart Center, Zentralklinik Bad Berka, Robert-Koch-Allee 9, 99437 Bad Berka, GermanyDepartment of Cardiology, Heart Center, Zentralklinik Bad Berka, Robert-Koch-Allee 9, 99437 Bad Berka, GermanyDepartment of Cardiology, Heart Center, Zentralklinik Bad Berka, Robert-Koch-Allee 9, 99437 Bad Berka, GermanyIntroduction. Left ventricular outflow obstruction might be part of the pathophysiological mechanism of Tako-tsubo cardiomyopathy. This obstruction can be masked by Tako-tsubo cardiomyopathy and diagnosed only by followup. Case Presentation. A 70-year-old female presented with Tako-tsubo cardiomyopathy and masked obstructive hypertrophic cardiomyopathy at presentation. Conclusion. Tako-tsubo cardiomyopathy typically presents like an acute MI and is characterized by severe, but transient, regional left ventricular systolic dysfunction. Prompt evaluation of the coronary status is, therefore, mandatory. The prognosis under medical treatment of heart failure symptoms and watchful waiting is favourable. Previous studies showed that LVOT obstruction might be part of the pathophysiological mechanism of TCM. This paper supports this theory. However, TCM may also mask any preexisting LVOT obstruction.http://dx.doi.org/10.1155/2012/486427 |
spellingShingle | Y. Daralammori M. El Garhy M. R. Gayed A. Farah B. Lauer M. A. Secknus Hypertrophic Obstructive Cardiomyopathy Masked by Tako-Tsubo Syndrome: A Case Report Case Reports in Cardiology |
title | Hypertrophic Obstructive Cardiomyopathy Masked by Tako-Tsubo Syndrome: A Case Report |
title_full | Hypertrophic Obstructive Cardiomyopathy Masked by Tako-Tsubo Syndrome: A Case Report |
title_fullStr | Hypertrophic Obstructive Cardiomyopathy Masked by Tako-Tsubo Syndrome: A Case Report |
title_full_unstemmed | Hypertrophic Obstructive Cardiomyopathy Masked by Tako-Tsubo Syndrome: A Case Report |
title_short | Hypertrophic Obstructive Cardiomyopathy Masked by Tako-Tsubo Syndrome: A Case Report |
title_sort | hypertrophic obstructive cardiomyopathy masked by tako tsubo syndrome a case report |
url | http://dx.doi.org/10.1155/2012/486427 |
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