TY - BOOK AU - Jhaveri, Khushali TI - Atypical Takotsubo Cardiomyopathy with Hypokinetic Left Mid-ventricle and Apical Wall Sparing: A Case Report and Literature Review SN - 1573-403X PY - 2020/// KW - IN PROCESS -- NOT YET INDEXED KW - MedStar Washington Hospital Center KW - Medicine/Internal Medicine KW - Case Reports N2 - BACKGROUND: Takotsubo Cardiomyopathy (TTC) is an uncommon cause of acute reversible ventricular systolic dysfunction in the absence of obstructive Coronary Artery Disease (CAD). Typically manifesting as apical wall ballooning, TTC can rarely present atypically with apical wall sparing; CASE REPORT: A 62-year-old female presented with complaints of chest pain and features mimicking acute coronary syndrome. Coronary angiogram revealed no obstructive CAD and left ventriculogram showed reduced ejection fraction, normal left ventricular apex and hypokinetic mid-ventricles consistent with atypical TTC. The patient was discharged home on heart failure medications and a follow-up transthoracic echocardiogram demonstrated improved left ventricular function with no wall motion abnormality; CONCLUSION: This case report provides an insight into the diagnosis and management of TTC in the absence of pathognomic features. Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net UR - https://dx.doi.org/10.2174/1573403X15666191120114442 ER -