Hypertrophic Obstructive Cardiomyopathy Masked by Tako-Tsubo Syndrome: A Case Report | Zendy

Y. Daralammori | Zendy; Mohammad El Garhy | Zendy; Mohamed Gayed | Zendy; Ahmed Farah | Zendy; Bernward Lauer | Zendy; Maria A. Secknus | Zendy

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Hypertrophic Obstructive Cardiomyopathy Masked by Tako-Tsubo Syndrome: A Case Report

Author(s) -

Y. Daralammori,

Mohammad El Garhy,

Mohamed Gayed,

Ahmed Farah,

Bernward Lauer,

Maria A. Secknus

Publication year - 2012

Publication title -

case reports in cardiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.106

H-Index - 5

eISSN - 2090-6412

pISSN - 2090-6404

DOI - 10.1155/2012/486427

Subject(s) - medicine , cardiology , cardiomyopathy , pathophysiology , obstructive cardiomyopathy , presentation (obstetrics) , heart failure , hypertrophic cardiomyopathy , acute coronary syndrome , surgery , myocardial infarction

. 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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