A clinical case of takotsubo syndrome in combination with left ventricular hypertrabeculation

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Abstract


The article describes the clinical case of takotsubo syndrome in female, who has also echocardiographic picture of a left ventricular noncompaction cardiomyopathy. According to the result of magnetic resonance imaging, the diagnosis of noncompaction cardiomyopathy was not confirmed, left ventricular hypertrabeculation was revealed. There are single descriptions of the combination of takotsubo syndrome and left ventricular hypertrabeculation, the pathogenetic relationship of these conditions has not yet been established.


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About the authors

Svetlana A. Boldueva

Mechnikov North-Western State Medical University

Author for correspondence.
Email: svetlanaboldueva@mail.ru

Russian Federation, Saint Petersburg

D. Sci. (Med.), Prof., Mechnikov North-Western State Medical University

Dmitrii S. Evdokimov

Mechnikov North-Western State Medical University

Email: svetlanaboldueva@mail.ru

Russian Federation, Saint Petersburg

Clinical Resident, Mechnikov North-Western State Medical University

Larisa S. Evdokimova

Mechnikov North-Western State Medical University

Email: svetlanaboldueva@mail.ru

Russian Federation, Saint Petersburg

Clinical Resident, Mechnikov North-Western State Medical University

Arina D. Khomulo

Mechnikov North-Western State Medical University

Email: svetlanaboldueva@mail.ru

Russian Federation, Saint Petersburg

cardiologist, Mechnikov North-Western State Medical University

References

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Supplementary files

Supplementary Files Action
1.
Fig. 1. ECG on admission.

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2.
Fig. 2. KVG: a - diastole; b - systole. There is akinesia of the apex, apical and median segments of all walls of the LV, hyperkinesia of the basal parts of the LV.

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3.
Fig. 3. Echocardiography on the 2nd day from the apical approach, left ventricle: a - diastole; b - systole. White arrows - zones of hypokinesia of the median segments.

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4.
Fig. 4. ECG on the 12th day.

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5.
Fig. 5. EchoCG on the 14th day.

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6.
Fig. 6. MRI of the heart, short axis, section at the level of the middle third of the LV: 1 - non-compact layer of the myocardium; 2 - trabecula.

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7.
Fig. 7. MRI of the heart, four-chamber view. The arrow indicates the trabeculae.

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