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Number 07-09: Tako-tsubo or Infarction

Case from: Ajay Yerramasu and Anthon Fuisz. Washington Hospital Center, Washington DC, USA.

History (A): 65 female presented with an apparent acute MI following emotional stress. Unremarkable coronary angiography (A2).

History (B): 40 female presented with an apparent acute MI. Angiography demonstrated acute LAD lesion (B2).

CMR: Apical hyopkinesis is seen in both cases (A1, B1). CE-IR delayed enhancement present in case 2 only (B3).

Comment A: Absence of scar after stress suggests tako-tsubo cardiomyopathy.

Comment B: CE-IR images confirm myocardial infarction.

Perspective: The absence or minimal presence of myocardial necrosis in tako-tsubo can be confirmed on CE-IR MRI with delayed imaging.

Reference: Am Heart J. 2002 Mar;143(3):448-55.

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