title: Inverted Tako-Tsubo cardiomyopathy associated with bronchoalveolar lavage.
abstract: Tako-Tsubo cardiomyopathy (TTC), also known as transient left ventricular (LV) ballooning syndrome or stress-induced cardiomyopathy, is characterised by transient LV dysfunction in the absence of significant angiographic coronary stenoses, frequently provoked by an episode of emotional or physical stress. In TTC, typically transient akinesis or dyskinesis of the LV apical segments with normal or hypercontractile basal wall motions is observed. Recently, several cases of atypical or inverted transient TTC sparing the LV apex have been reported. We report a case of inverted TTC showing akinesis of the basal and mid-ventricular segments of the LV with apical hyperkinesia triggered by bronchoscopy with bronchoalveolar lavage.
authors.affiliation: Division of Cardiology, Cardiac and Vascular Center, Department of Medicine, Inje University Seoul Paik Hospital, Inje University School of Medicine, #85 Jeo-dong 2-ga, Jung-gu, Seoul, Republic of Korea.
authors.forename: Kyeong Sam
authors.initials: KS
authors.lastname: Ok
authors.forename: Bong Gun
authors.initials: BG
authors.lastname: Song
authors.forename: Kyoung Sik
authors.initials: KS
authors.lastname: Park
authors.forename: Hyun Gul
authors.initials: HG
authors.lastname: Jung
authors.forename: Hye-Jin
authors.initials: HJ
authors.lastname: Jung
authors.forename: I Nae
authors.initials: IN
authors.lastname: Park
authors.forename: Ho-Kee
authors.initials: HK
authors.lastname: Yum
authors.forename: Wook-Hyun
authors.initials: WH
authors.lastname: Cho
authors.forename: Suk-Koo
authors.initials: SK
authors.lastname: Choi
mesh_terms: D000368:Aged; D018893:Bronchoalveolar Lavage / Q000009:adverse effects*; D020680:Bronchoscopes / Q000009:adverse effects*; D005260:Female; D006801:Humans; D054549:Takotsubo Cardiomyopathy / Q000209:etiology* / Q000503:physiopathology*; D014397:Tuberculosis, Pulmonary / Q000378:metabolism / Q000628:therapy