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“Apical sparing” T‐wave inversion in a case of mid‐ventricular takotsubo syndrome
Author(s) -
Giannattasio Alessia,
Baritussio Anna,
Gallucci Marco,
Migliore Federico,
Corrado Domenico,
Zorzi Alessandro
Publication year - 2021
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/pace.14165
Subject(s) - medicine , t wave , cardiology , precordial examination , takotsubo syndrome , cardiac magnetic resonance , edema , qt interval , st segment , ventricular repolarization , cardiac magnetic resonance imaging , electrocardiography , repolarization , magnetic resonance imaging , cardiomyopathy , heart failure , myocardial infarction , radiology , electrophysiology
Previous studies showed that myocardial edema correlates with dynamic T‐wave inversion and QTc prolongation in a variety of acute cardiovascular diseases including takotsubo syndrome (TTS). We reported the case of a patient with “atypical” (mid‐ventricular) TTS showing a unique pattern of diffuse T‐wave inversion that spared only the apical precordial leads V3–V4. Cardiac magnetic resonance (CMR) showed myocardial edema involving all mid‐ventricular segments but not the apex. Both ECG and CMR normalized at follow‐up evaluation. This case further reinforces the theory of an association between presence and regional distribution of acute myocardial inflammation and dynamic repolarization changes.