A Case Report on Reverse Tokotsubo Cardiomyopathy: Diagnosis and Path toward Treatment

Arshad Ali Shah,Syed Dilbahar Ali Shah, Sawera Haider, Beenish Imam,Faisal Ahmed, Saima Zahoor

Pakistan Journal of Medicine and Dentistry(2024)

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Abstract
Reverse takotsubo cardiomyopathy (rTTC), also known as inverted takotsubo syndrome, is an acute cardiac syndrome that mimics myocardial infarction and accounts for a smaller proportion of cases compared to the classic takotsubo syndrome. While the exact prevalence is not well-established, studies suggest that the proportion of patients with the rTTC variant out of all Takotsubo Cardiomyopathy (TTC) according to different literature ranges from 1-23%. This variant of TTC is characterized by basal and/or mid-akinesis/hypokinesis associated with apical hyperkinesis that resolves spontaneously. We report a case of a 30-year-old male patient who presented with complaints of sudden crushing chest pain and shortness of breath. After conducting a thorough examination, the patient’s diagnostic workup confirmed reverse takotsubo cardiomyopathy, elucidating the underlying cardiac pathology
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Key words
takotsubo cardiomyopathy,hypokinesia,hyperkinesis
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