5th International Conference on Heart and Cardiovascular Diseases

Mayank Butola is a National Board Trainee currently pursuing a super-specialisation degree in Cardiology at Artemis Hospital, Gurugram. He is relatively new in the field of research methodology but, with time, aims to publish multiple original researches in the field of cardiology

Background

First described in Japan in the 1990s, Takotsubo Cardiomyopathy (TTC) is an acute but reversible left ventricular (LV) dysfunction presenting as apical ballooning or focal wall motion abnormalities. It is usually triggered by emotional, physical or combined triggers. Multiple variants of Takotsubo syndrome have been reported including Reverse Takotsubo Cardiomyopathy (rTTC) which is a variant characterized by Basal Akinesis / Hypokinesis with Apical Hyperkinesia. Takotsubo syndrome accounts for ≈2% to 3% of all patients and 5% to 6% of female patients presenting with acute coronary syndrome. The condition can occur in any age group. Younger patients are more likely to be male, or have atypical takotsubo.

Objectives

We present the case of a 39 Year / Male patient who was diagnosed with Reverse Takotsubo Cardiomyopathy and offer a review of literature of regarding the disease as its recognition improves the assessment of patient prognosis and management. Methodology: Detailed evaluation of the patient was done including clinical examination, biomarkers and imaging techniques.

Key Results/Findings

Akinesia in Basal Anterior septum, Basal and Mid- Inferior septum, Basal and Mid- Inferior and Inferolateral wall, Basal and Mid- Anterior and Anterolateral wall with a Hyperkinetic Apex”. He had an LV Ejection Fraction~30-35% and LV diastolic dysfunction grade I (E/e’ = 16) which reverted to normal within 7 days of primary insult. Conclusion: Reverse Takotsubo cardiomyopathy is a variant of classical takotsubo syndrome with similar pathophysiology but with different clinical presentations and clincal profile. It is important to identify this rare variant of TTC at the earliest to allow better patient prognostication, management and avoid unnecessary investigations.