Journal article
Review of multi-modality imaging update and diagnostic work up of Takotsubo cardiomyopathy
Clinical imaging, Vol.80, pp.334-347
12/2021
DOI: 10.1016/j.clinimag.2021.08.027
Abstract
Takotsubo cardiomyopathy (TC) is an acute but reversible non-ischemic heart failure syndrome. It is characterized by a transient form of ventricular dysfunction typically manifesting as basal hyperkinesis with hypokinesia and ballooning of left ventricle mid-cavity and apex. Imaging helps in both diagnosis and follow up. Echocardiogram is the first-line modality to assess the typical contractile dysfunction in suspected patients with catheter angiography showing normal coronary arteries. Cardiac MRI is currently the modality of choice for the non-invasive initial assessment of TC and for follow up imaging. The current review focusses on historical background of TC, its pathophysiology, diagnostic work up and differential diagnosis and provides multimodality imaging work up of TC including role of echocardiogram, invasive catheterization, nuclear imaging, cardiac computed tomography and cardiac MRI including basic and advanced MRI sequences.
•Takotsubo cardiomyopathy (TC) is reversible syndrome mimicking acute coronary syndrome.•TC is typically characterized by basal hyperkinesis and apical akinesis.•Echocardiography and catheter angiography are often first line modality.•Cardiac MRI is modality of choice for the non-invasive initial assessment.•Cardiac MRI provides comprehensive evaluation for initial diagnosis and follow up.
Details
- Title: Subtitle
- Review of multi-modality imaging update and diagnostic work up of Takotsubo cardiomyopathy
- Creators
- Sarv Priya - University of Iowa, RadiologyPrashant Nagpal - University of Iowa, RadiologyTanya Aggarwal - University of Iowa, RadiologyJames Huynh - Division of Cardiothoracic Imaging, University of Calgary | Foothills Medical Centre, Calgary, CanadaKanika Khandelwal - Department of Internal Medicine, Hospital Internal Medicine, Mayo Clinic Health System, Austin, MN, USAAshish Khandelwal - Mayo Clinic
- Resource Type
- Journal article
- Publication Details
- Clinical imaging, Vol.80, pp.334-347
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.clinimag.2021.08.027
- ISSN
- 0899-7071
- eISSN
- 1873-4499
- Language
- English
- Date published
- 12/2021
- Academic Unit
- Radiology
- Record Identifier
- 9984130695002771
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