Delayed contrast enhancement in MRI in takotsubo cardiomyopathy.
We present a 21-year-old female whose clinical presentation and investigations were suggestive of takotsubo cardiomyopathy. On cardiac MRI, there was delayed gadolinium enhancement in apical and mid-segments with sparing of the base. Patient is in class III symptoms with ejection fraction of 24% at 1 year follow-up. This variant form of takotsubo cardiomyopathy with delayed contrast enhancement is associated with irreversible left ventricular dysfunction and poor outcome.
Cardiology Department, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka, India. drparun1976@gmail.com
Arunkumar
A
Panneerselvam
Anand H
AH
Krishnamurthy
Prabhavathi
P
Bhat
Manjunath C
MC
Nanjappa
D003287:Contrast Media; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis*; D013997:Time Factors; D055815:Young Adult
D003287:Contrast Media