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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Main Authors: Y. Daralammori, M. El Garhy, M. R. Gayed, A. Farah, B. Lauer, M. A. Secknus
Format: Article
Language:English
Published: Wiley 2012-01-01
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.
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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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