Takotsubo cardiomyopathy recurrence with left ventricular apical ballooning following isolated right ventricular involvement: A case report.
We report a case of Takotsubo cardiomyopathy, which involved the right ventricle at first presentation and demonstrated involvement of the left ventricle during recurrence. The patient was admitted to Kyung Hee University Hospital due to a left hip fracture, which was considered a result of physical stress. Complete recovery was confirmed by echocardiography prior to recurrence. The cause of the second event was surgery for the left hip fracture. Recurrence of Takotsubo cardiomyopathy at various cardiac locations provides evidence against the existing hypotheses that variants of Takotsubo cardiomyopathy are associated with anatomically different distributions of cardiac adrenergic receptors, the degree of stimulation by sympathetic activity and different susceptibilities to such sympathetic stimulation.
Cardiovascular Center, Kyung Hee University Hospital at Gangdong, Seoul 134-727, Republic of Korea.
Byung-Hyun
BH
Joe
Hui-Jeong
HJ
Hwang
Chang-Bum
CB
Park
Eun-Sun
ES
Jin
Il-Suk
IS
Sohn
Jin-Man
JM
Cho
Chong-Jin
CJ
Kim
Takotsubo cardiomyopathy; apical ballooning syndrome; right ventricle