Korean J Med > Volume 76(6); 2009 > Article
The Korean Journal of Medicine 2009;76(6):746-751.
A case of stress-induced cardiomyopathy with an “inverted Takotsubo” contractile pattern
Sang Woo Yim, Woo Jung Chun, Ju Hyun Oh, Yongwhi Park, Yongwhan Park, Geon Tae Park, Jun Hwi Song
반전된 Takotsubo 형태를 보이는 스트레스성 심근병증 1예
임상우, 천우정, 오주현, 박용휘, 박용환, 박건태, 송준휘
Abstract
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.
Key Words: 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 angio


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