Lima Gian, Trejo-Paredes Maria Camila, Cardoso Eduardo
Internal Medicine, University of Connecticut Health Center, Farmington, USA.
Cureus. 2020 Jul 26;12(7):e9403. doi: 10.7759/cureus.9403.
Different variants of Takotsubo cardiomyopathy (TC) have been described recently. In the present case, we report a post-menopausal woman who had been experiencing significant emotional distress, admitted with typical chest pain, electrocardiographic changes, and elevated troponin levels. She underwent left heart catheterization that demonstrated mild non-obstructive coronary disease and mid-ventricular focal wall motion abnormality, consistent with the mid-ventricular variant of TC. One month after her discharge, a repeated echocardiogram showed preserved ejection fraction and no wall motion abnormalities. In the mid-ventricular variant, we usually observe a unique end-systolic appearance that resembles a Greek vase. It is possible that atypical patterns of left ventricle (LV) dysfunction related to TC are being underrecognized. Therefore, this case study highlights the importance of recognizing less frequent variants of TC.
近年来，人们对Takotsubo心肌病（TC）的不同变体进行了描述。在本病例中，我们报告了一名绝经后女性，她一直经历着严重的情绪困扰，因典型胸痛、心电图改变和肌钙蛋白水平升高入院。她接受了左心导管检查，结果显示轻度非阻塞性冠状动脉疾病和心室中部局灶性室壁运动异常，符合TC的心室中部变体。出院一个月后，重复超声心动图显示射血分数保留且无室壁运动异常。在心室中部变体中，我们通常会观察到一种独特的收缩末期外观，类似于希腊花瓶。与TC相关的左心室（LV）功能障碍的非典型模式可能未得到充分认识。因此，本病例研究强调了认识TC较少见变体的重要性。
