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takotsubo cardiomyopathy was confirmed using cardiovascular magnetic resonance imaging.2 Similar cases have been reported from other institutes. Further investigation should be conducted to evaluate the prevalence and clinical features of focal takotsubo cardiomyopathy in other segments. Focal takotsubo cardiomyopathy may develop after a myocardial infarction that might play a role as a physical stress. We included only patients with wall motion abnormality in both the anterolateral and septal segments. To the best of our knowledge, focal takotsubo cardiomyopathy with wall motion abnormality only in the septal segment has not been reported. Thus it may be less likely that some of our cases developed focal takotsubo cardiomyopathy in the septal segment associated with myocardial infarction in the diagonal branch area. However, it is a very interesting issue and should be investigated.

Documentation of Focal Takotsubo Syndrome and Its Diagnostic Implications – Reply –