@article{hbkup:/content/journals/10.5339/gcsp.2013.22, author = "Spadotto, Veronica and Elmaghawry, Mohamed and Zorzi, Alessandro and Migliore, Federico and Marra, Martina Perazzolo", title = "Apical ballooning with mid-ventricular obstruction: the many faces of Takotsubo cardiomyopathy", journal= "Global Cardiology Science and Practice", year = "2013", volume = "2013", number = "2", pages = "", doi = "https://doi.org/10.5339/gcsp.2013.22", url = "https://www.qscience.com/content/journals/10.5339/gcsp.2013.22", publisher = "Hamad bin Khalifa University Press (HBKU Press)", issn = "2305-7823", type = "Journal Article", keywords = "myocardial edema", keywords = "cardiomyopathy", keywords = "electrocardiogram", keywords = "T-waves", keywords = "stress-induced", keywords = "Takotsubo", eid = "22", abstract = "Takotsubo cardiomyopathy (TTC) is a transient left ventricular dysfunction due to akinesia of the left-ventricular (LV) mid-apical segments (apical ballooning), which can cause severe reduction in LV systolic function. The typical clinical picture of TTC include chest pain, electrocardiographic changes consisting of mild ST-segment elevation followed by diffuse deep T-wave inversion, QTc interval prolongation and mild troponin release in the absence of significant coronary stenoses. The syndrome often affects post-menopausal women and is triggered by sympathetic overstimulation, like intense physical or emotional stress, so that it is called the “broken heart syndrome”. Although left-ventricular systolic dysfunction usually fully recovers within few days, heart failure can still complicate the early phase. We report a case of stress-induced cardiomyopathy that had full recovery after 4 weeks of follow up. The main electrocardiographic, angiographic and imaging features are discussed.", }