Left Ventricular Rupture Associated With Takotsubo Cardiomyopathy

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Left Ventricular Rupture Associated With Takotsubo Cardiomyopathy Yoshihiro J. Akashi, MD, Tamotsu Tejima, MD, Harumizu Sakurada, MD, Hisao Matsuda, MD, Kengo Suzuki, MD, Kensuke Kawasaki, MD, Katsuhiko Tsuchiya, MD, Nobuyuki Hashimoto, MD, Haruki Musha, MD, Masayoshi Sakakibara, MD, Kiyoshi Nakazawa, MD, Fumihiko Miyake, MD  Mayo Clinic Proceedings  Volume 79, Issue 6, Pages 821-824 (June 2004) DOI: 10.4065/79.6.821 Copyright © 2004 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Electrocardiographic tracings obtained before (prehospital) and after hospitalization of a patient with chest pain. Admission electrocardiogram revealed normal sinus rhythm (72 beats/min) with ST elevation in leads I, II, III, aVL, aVF, and V2 through V6, as well as abnormal Q waves in leads V1 through V5. At 24 hours after admission, more prominent ST elevation was noted in leads II, III, aVF, and V2 through V6, which did not improve within 72 hours. Mayo Clinic Proceedings 2004 79, 821-824DOI: (10.4065/79.6.821) Copyright © 2004 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Top, Coronary angiography shows no stenosis. Top left, Normal left circumflex coronary artery was identified on right anterior oblique view. Top middle, Normal left anterior descending coronary artery was well identified on anterior cranial oblique view. Top right, Normal right coronary artery on left anterior oblique view. Bottom, Left ventriculography shows abnormal wall motion with apical akinesis and basal hyperkinesis, characteristic findings in patients with takotsubo cardiomyopathy. Mayo Clinic Proceedings 2004 79, 821-824DOI: (10.4065/79.6.821) Copyright © 2004 Mayo Foundation for Medical Education and Research Terms and Conditions