title: [Atypical takotsubo cardiomyopathy with preservation of apical contraction: a case report including pathological findings].
abstract: A 60-year-old woman presented with sudden chest and back pain. Electrocardiography suggested anterior myocardial infarction but coronary angiography revealed no significant stenosis in the coronary artery. Left ventriculography revealed akinesis of the mid ventricle and preserved contraction of the apical wall. The clinical condition of atypical left ventricular akinesia was suggested to be the same as conventionally reported typical takotsubo cardiomyopathy. Repeated left ventriculography revealed the abnormal wall motion had disappeared. The findings of endomyocardial biopsy were compatible with takotsubo cardiomyopathy. Although the clinical presentation of the left ventricle is atypical, the pathological findings may be the same as typical takatsubo cardiomyopathy.
authors.affiliation: Division of Cardiology, Iwamizawa Rousai Hospital, Hokkaido. emypp228@ybb.ne.jp
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Ohtsubo
authors.forename: Hiroto
authors.initials: H
authors.lastname: Sakai
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Takano
authors.forename: Hisashi
authors.initials: H
authors.lastname: Kon
authors.forename: Kenzo
authors.initials: K
authors.lastname: Okamoto
authors.forename: Nobuya
authors.initials: N
authors.lastname: Yoshida
authors.forename: Miri
authors.initials: M
authors.lastname: Fujita
mesh_terms: D000790:Angiocardiography; D001706:Biopsy; D009202:Cardiomyopathies / Q000175:diagnosis / Q000473:pathology*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D009200:Myocardial Contraction; D009206:Myocardium / Q000473:pathology*