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Follow-up in Tako-tsubo cardiomyopathy by real-time three-dimensional echocardiography
  1. O-A Breithardt,
  2. M Becker,
  3. T Kälsch,
  4. D Haghi
  1. olebreithardt{at}gmx.de

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A 77-year-old woman was admitted for acute chest pain after a brief episode of severe vertigo and headache. Initial troponin I levels were negative (<0.03 μg/l), but increased to a maximum of 1.7 μg/l on day 2 after admission.

(A) Regional volume curves by quantitative real-time three-dimensional transthoracic echocardiography 3 days after admission normalised to end-diastolic volume. The smallest change in regional volume is documented in the apical segments. (B) At day 20 the regional volume changes are more homogeneous, but significant post-systolic contraction is present in several segments (arrows). (C) Further improvement is seen on day 45 with less post-systolic contraction. (D) Bulls-eye view with colour-coding for the 16 analysed segments.

The ECG showed an incomplete …

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