Takotsubo cardiomyopathy in the case of 72-year-old teacher after work-related psychological stress. Evolution of left ventricular longitudinal strain – Delayed but complete recovery in automated function imaging (AFI)
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Medical University of Lodz, Łódź, Poland (Chair and Department of Cardiology)
Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Occupational Diseases and Environmental Health, Health Policy Unit)
Online publication date: 2017-03-23
Corresponding author
Karina Wierzbowska-Drabik   

Medical University of Lodz, Chair and Department of Cardiology, Kniaziewicza 1/5, 91-347 Łódź, Poland
Int J Occup Med Environ Health. 2017;30(4):681-3
Takotsubo cardiomyopathy (TC) is related to a transient systolic dysfunction of left ventricle (LV), accompanied by clinical and electrocardiographic symptoms of myocardial ischemia in the absence of hemodynamically significant coronary artery disease. Takotsubo cardiomyopathy is usually provoked by a psychologically or/and physically stressful event which may be related to occupational activities. Although visually assessed evolution of LV function is well documented, the data concerning strain changes is sparse and various patterns of deformation abnormalities are suggested. We have described a 72-year-old woman with chest pain related to a lecture given at the meeting of the Senior University, fulfilling all the Mayo Clinic criteria of the TC. The longitudinal strain analysis with automated function imaging (AFI) documented severe impairment and stepwise recovery of regional and global LV contractility. The case described confirms that accurate diagnosis, treatment and documenting of functional improvement in takotsubo cardiomyopathy may enable the return to occupational activities even for elderly persons. Int J Occup Med Environ Health 2017;30(4):681–683
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