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Pol. Merkur. Lek (Pol. Med. J.), 2013, XXXIV/202: 219-223 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2013, XXXIV/202: 219-223

Title: Reversible dilated cardiomyopathy as an atypical form of takotsubo cardiomyopathy

Authors: Elikowski W., Małek M., Łanocha M., Wróblewski D., Angerer D., Kurosz J., Rachuta K.

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09/202

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN POLISH.

Reversible dilated cardiomyopathy as an atypical form of takotsubo cardiomyopathy


Elikowski W.1, Małek M.1, Łanocha M.2, Wróblewski D.1, Angerer D.3, Kurosz J.4, Rachuta K.5

Józef Struś Hospital, Poznań, Poland: 1Department of Internal Medicine, 3Multislice Computed Tomography Unit, 4Hemostasis Laboratory, 5Emergency Department, 2Lord’s Transfiguration University Hospital, Poznań, Poland: Magnetic Resonance Unit

Stress-induced cardiomyopathy is characterized by transient regional left ventricular (LV) dysfunction that may involve, in different forms, midventricular, apical or basal segments. The authors describe a case of a 41-year-old woman with reversible, but global LV systolic dysfunction, complicated with apical thrombi. Clinical symptoms of dilated cardiomyopathy were preceded by persistent stressful workplace conditions. Ischemic, inflammatory, metabolic and endocrine causes of the disease were excluded. After 6 weeks, complete recovery of LV function in echocardiography and normal cardiac magnetic resonance imaging were observed, despite only modest doses of ramipril, carvedilol and diuretics. Six months later, as a result of another episode of emotional stress, she was hospitalized for typical takotsubo cardiomyopathy. Reversible global LV hypokinesis may be an atypical variant of stress-induced cardiomyopathy.

Key words: reversible dilated cardiomyopathy, recurrent takotsubo cardiomyopathy, left ventricular thrombi

Pol. Merk. Lek., 2013, XXXIV, 202, 219