Serial strain imaging in takotsubo syndrome with concomitant coronary artery disease.
We report a case of takotsubo syndrome (TTS) triggered by herpes encefalitis in the presence of significant triple vessel coronary artery disease (CAD). The typical ECG abnormalities, moderately elevated cardiac enzymes with disproportionally elevated brain natriuretic peptide (BNP) as well as the typical wall motion abnormalities on echocardiography and left ventricular (LV) angiography, were consistent with the diagnosis of TTS with concomitant CAD rather than an acute coronary syndrome. The normalization of the wall motion abnormalities, ejection fraction and longitudinal strain on serial echocardiography all support the diagnosis of takotsubo syndrome, especially in challenging cases.
['Heyse|Alex|A|http://orcid.org/0000-0002-6364-6074', 'Anne|Florence|F|', 'Lagae|Beatrice|B|', 'Van Haver|Hilde|H|', 'Van Durme|Frederik|F|']
D000368:Aged D000792:Angiography D003324:Coronary Artery Disease D004452:Echocardiography D020803:Encephalitis, Herpes Simplex D006352:Heart Ventricles D006801:Humans D008297:Male D020097:Natriuretic Peptide, Brain D054549:Takotsubo Cardiomyopathy
strain imaging Takotsubo syndrome coronary artery disease encefalitis echocardiography