title: [Reversible dilated cardiomyopathy as an atypical form of takotsubo cardiomyopathy].
abstract: 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.
authors.affiliation: Szpital im. Józefa Strusia w Poznaniu, Oddziałl Chorób Wewnetrznych. welikowski@wp.pl
authors.forename: Waldemar
authors.initials: W
authors.lastname: Elikowski
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Małek
authors.forename: Magdalena
authors.initials: M
authors.lastname: Łanocha
authors.forename: Dariusz
authors.initials: D
authors.lastname: Wróblewski
authors.forename: Dariusz
authors.initials: D
authors.lastname: Angerer
authors.forename: Jolanta
authors.initials: J
authors.lastname: Kurosz
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Rachuta
mesh_terms: D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D012008:Recurrence; D013315:Stress, Psychological / Q000150:complications; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis* / Q000209:etiology