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Vol 16, No 4 (2021)
Case report
Published online: 2021-08-31

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Late-onset takotsubo cardiomyopathy after acute pulmonary embolism

Aleksandra Wilk1, Wojciech Król2, Marcin Konopka2, Anna Żarek-Starzewska1, Wojciech Braksator2
Folia Cardiologica 2021;16(4):248-251.

Abstract

Takotsubo syndrome (TTS) is an acute condition characterized by transient decrease of regional contractility most often involving apical segments of left ventricle. We present the case report of 87-year old woman diagnosed with intermediate-high risk acute pulmonary embolism, previously discharged in a stable condition, who was presented again to the Emergency Department because of a syncope and increasing levels of troponin. After differential diagnostics including coronaroangiography and transthoracic echocardiography complemented by the longitudinal strain assessment with the use of speckle tracking echocardiography a diagnosis of takotsubo cardiomyopathy was made. This case shows the significance of strain echocardiography in diagnostics of TTS.

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