title: Tako tsubo cardiomyopathy (transient left ventricular apical ballooning): case report of a myocardial perfusion echocardiogram study.
abstract: We are reporting a case of Tako tsubo cardiomyopathy (transient left ventricular apical ballooning) in the Western population identified by a perfusion echocardiogram that demonstrated perfusion defect at baseline in the apical and adjacent walls that was incongruous to the wall-motion abnormality. The perfusion defect improved within 72 hours on a repeated study indicating that microvasculature disruption is a key feature of this enigmatic cardiomyopathy.
authors.affiliation: Bridgeport Hospital, Yale University School of Medicine, Bridgeport, Connecticut 06610, USA. rslupa@bpthosp.org
authors.forename: Shrikanth P Y
authors.initials: SP
authors.lastname: Upadya
authors.forename: Sheikh M
authors.initials: SM
authors.lastname: Hoq
authors.forename: Rahul
authors.initials: R
authors.lastname: Pannala
authors.forename: Fadi
authors.initials: F
authors.lastname: Alsous
authors.forename: Edward
authors.initials: E
authors.lastname: Tuohy
authors.forename: Stuart
authors.initials: S
authors.lastname: Zarich
mesh_terms: D000368:Aged; D009202:Cardiomyopathies / Q000175:diagnosis* / Q000503:physiopathology; D017023:Coronary Angiography; D004452:Echocardiography; D005260:Female; D006352:Heart Ventricles / Q000503:physiopathology*; D006801:Humans; D018487:Ventricular Dysfunction, Left / Q000209:etiology*