Preview

Russian Journal of Cardiology

Advanced search

Myocardial strain changes over a 1-month follow-up in Takotsubo syndrome: a case report

https://doi.org/10.15829/1560-4071-2023-5583

EDN: MNFXXE

Abstract

Among various diagnostic methods, echocardiography (EchoCG) is most often used to identify Takotsubo syndrome. Left ventricular apical ballooning and the absence of permanent local contractility disturbances makes it possible to confirm the diagnosis. Currently, the available literature provides insufficient data on longitudinal strain (LS) of various cardiac chambers in this condition. The current case report demonstrates complete restoration of left heart LS within 1 month with its initial significant decrease.

About the Authors

N. E. Shirokov
Tyumen Cardiology Research Center, Tomsk National Research Medical Center
Russian Federation

Tomsk


Competing Interests:

none



O. N. Kukovskaya
Tyumen Cardiology Research Center, Tomsk National Research Medical Center
Russian Federation

Tomsk


Competing Interests:

none



I. O. Malshakov
Tyumen Cardiology Research Center, Tomsk National Research Medical Center
Russian Federation

Tomsk


Competing Interests:

none



E. I. Yaroslavskaya
Tyumen Cardiology Research Center, Tomsk National Research Medical Center
Russian Federation

Tomsk


Competing Interests:

none



D. V. Krinochkin
Tyumen Cardiology Research Center, Tomsk National Research Medical Center
Russian Federation

Tomsk


Competing Interests:

none



T. N. Baskakova
Tyumen Cardiology Research Center, Tomsk National Research Medical Center

Tomsk


Competing Interests:

none



N. A. Musikhina
Tyumen Cardiology Research Center, Tomsk National Research Medical Center
Russian Federation

Tomsk


Competing Interests:

none



References

1. Prokudina ES, Kurbatov BK, Maslov LN. Clinical Manifestation of Stressful Cardiomyopathy (Takotsubo Syndrome) and the Problem of Differential Diagnosis with Acute Myocardial Infarction. Kardiologiia. 2020;60(11):137-47. (In Russ.) doi:10.18087/cardio.2020.11.n777.

2. Boldueva SA, Evdokimov DS. Takotsubo cardiomyopathy. Literature review: clinical performance, diagnostic algorithm, treatment, prognosis. Part II. Russian Journal of Cardiology. 2022;27(3S):4994. (In Russ.) doi:10.15829/1560-4071-2022-4994.

3. Ghadri JR, Wittstein IS, Prasad A, et al. International Expert Consensus Document on Takotsubo Syndrome (Part II): Diagnostic Workup, Outcome, and Management. Eur Heart J. 2018;39(22):2047-62. doi:10.1093/eurheartj/ehy077.

4. Sosa S, Banchs J. Early recognition of apical ballooning syndrome by global longitudinal strain using speckle tracking imaging-the evil eye pattern, a case series. Echocardiography. 2015;(7):1184-92. doi:10.1111/echo.12875.

5. Kaur P, Fatmi SS, Aliabadi D, et al. Abnormal Longitudinal Strain in Takotsubo Cardiomyopathy: A Case Report. Cureus. 2022;14(4):e24289. doi:10.7759/cureus.24289.

6. Tibrewala A, Freed BH, Akhter N. Importance of temporal changes in myocardial strain in Takotsubo cardiomyopathy. BMJ Case Rep. 2017;2017:bcr2017220719. doi:10.1136/bcr-2017-220719.

7. Iannaccone G, Graziani F, Del Buono MG, et al. Left atrial strain analysis improves left ventricular filling pressures non-invasive estimation in the acute phase of Takotsubo syndrome. Eur Heart J Cardiovasc Imaging. 2023;24(6):699-707. doi:10.1093/ehjci/jead045.


Supplementary files

  • In a patient with Takotsubo syndrome, left ventricular apical dyskinesia was initially detected; no local contractility disturbances were detected over time using echocardiography.
  • Left atrial strain reservoir (LASr) can be used to characterize the communication of left and right heart.

Review

For citations:


Shirokov N.E., Kukovskaya O.N., Malshakov I.O., Yaroslavskaya E.I., Krinochkin D.V., Baskakova T.N., Musikhina N.A. Myocardial strain changes over a 1-month follow-up in Takotsubo syndrome: a case report. Russian Journal of Cardiology. 2023;28(4S):5583. (In Russ.) https://doi.org/10.15829/1560-4071-2023-5583. EDN: MNFXXE

Views: 864


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1560-4071 (Print)
ISSN 2618-7620 (Online)