Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 13, Number 8, August 2022, pages 414-420

Reverse Takotsubo Cardiomyopathy in a Patient With Commotio Cordis


Figure 1.
Figure 1. ECG: sinus tachycardia, no significant ST-segment changes. ECG: electrocardiogram.
Figure 2.
Figure 2. TTE: parasternal long axis view showing “ballooning” of basal and mid segments (blue arrows) while preserved contractility in the apex (red arrow). TTE: transthoracic echocardiogram.
Figure 3.
Figure 3. (a) Coronary angiogram with no significant obstructive disease in left anterior descending artery (blue arrow) and circumflex artery (red arrow). (b) Coronary angiogram showing patent right coronary artery (red arrow).
Figure 4.
Figure 4. Repeat TTE parasternal long axis view with no more basal and mid segments ballooning (blue arrow). TTE: transthoracic echocardiogram.


Table 1. Anatomical Variants of Takotsubo Syndrome and Their Prevalence, According to the Heart Failure Association of the European Society of Cardiology [2]
MLV: mid-left ventricular; CMR: cardiac magnetic resonance.
Apical with or without MLV variant (typical)75-80%
MLVAbout 10-15%
Inverted or basalAbout 5%
BiventricularClinical < 0.5%; CMR 33%
Right ventricularUnknown
Apical tip sparingUnknown
Possible atypical variants