"MR perfusion: usually normal"
"predominantly precordial ST-segment elevation 9"
"an absence of reciprocal ST depression"
"the ST segments typically return to isoelectric baseline over 1-3 days"
"prolongation of QT interval"
"There is typically an absence of late enhancement on delayed contrast sequences, which differentiates takotsubo cardiomyopathy from anterior STEMI."
"T wave inversion"
"The "takotsubo" morphology refers to the appearance of systolic "ballooning" of the left ventricular apex; it may also involve the right ventricle. Basal segments of the affected myocardium are hyperdynamic with a diffusely hypo-contractile apex, with a disproportionately large amount of myocardium affected as compared to the troponin elevation. This regional dyssynchrony may precipitate:"
Expected headings
"ECG"
"Biochemistry"
"Echocardiography"
"Left ventriculography"
"There is a transient left ventricular dysfunction with no evidence of obstructive epicardial coronary disease."
"There is typically an absence of late enhancement on delayed contrast sequences, which differentiates takotsubo cardiomyopathy from anterior STEMI."
"The "takotsubo" morphology refers to the appearance of systolic "ballooning" of the left ventricular apex; it may also involve the right ventricle. Basal segments of the affected myocardium are hyperdynamic with a diffusely hypo-contractile apex, with a disproportionately large amount of myocardium affected as compared to the troponin elevation. This regional dyssynchrony may precipitate:"
"There can be a high T2 intensity signal (directly relating to water content in the myocardial wall); the oedema is typically located in the apical mid-ventricular planes and spares the basal plane, and matches the wall-motion abnormalities seen on cine MRI."
"Management is generally supportive, with management of heart failure with reduced ejection fraction, and its associated complications (e.g. thromboembolism)."