Contrast Echocardiography Evaluation of Microcirculation of Myocardial Infarction Caused by Takotsubo Syndrome: Case Report and Literature Review

doi:10.37015/AUDT.2021.210016

Advanced Ultrasound in Diagnosis and Therapy ›› 2021, Vol. 5 ›› Issue (3): 258-261.doi: 10.37015/AUDT.2021.210016

• Case Reports • Previous Articles Next Articles

Contrast Echocardiography Evaluation of Microcirculation of Myocardial Infarction Caused by Takotsubo Syndrome: Case Report and Literature Review

Rifei Li, MM^a, Yuanmei Zhang, MM^a, Chengkai Zhang, MM^a, Xuenian Huang, MM^a, Shangwei Ding, MD^a^,^*()

^aDepartment of Radiology, Thomas Jefferson University, Philadelphia, PA, USA

Received:2021-06-02 Revised:2021-06-27 Online:2021-09-30 Published:2021-08-31
Contact: Shangwei Ding, MD, E-mail:dsw101@163.com

Richhtml ( 6 ) PDF ( 385 )

Abstract

Abstract:

Takotsubo syndrome (TTS) is also known as stress cardiomyopathy (SCM) or apical ballooning syndrome (ABS). TTS is reversible cardiomyopathy with a good prognosis. Although the patients have chest pain and ECG changes with typical acute myocardial infarction, they have angiographically normal coronary arteries or mild atherosclerosis. TTS can cause microcirculation dysfunction, leading to myocardial infarction with non-obstructive coronary atherosclerosis (MINOCA). Myocardial Contrast Echocardiography (MCE) can detect MINOCA caused by TTS by evaluating myocardial microcirculation. We report a case of MINOCA caused by TTS using MCE to evaluate myocardial ischemia in the subendocardial myocardium.

Key words: Myocardial infarction; Non-obstructive coronary atherosclerosis; Takotsubo Syndrome; Myocardial contrast echocardiography

Rifei Li, MM, Yuanmei Zhang, MM, Chengkai Zhang, MM, Xuenian Huang, MM, Shangwei Ding, MD. Contrast Echocardiography Evaluation of Microcirculation of Myocardial Infarction Caused by Takotsubo Syndrome: Case Report and Literature Review. Advanced Ultrasound in Diagnosis and Therapy, 2021, 5(3): 258-261.

References

[1]	Sato H. “Tako-tsubo-like left ventricular dysfunction due to multivessel coronary spasm” in Clinical Aspect of Myocardial Injury: From Ischemia to Heart Failure, K. Kodama, K. Haze, and M. Hori, Eds., pp.56-64, Kagakuhyoronsha Publishing Co, Tokyo, Japan, 1990.
[2]	Prasad A. Apical ballooning syndrome: an important differential diagnosis of acute myocardial infarction. Circulation 2007; 115:e56-e59.
[3]	Roshanzamir S, Showkathali R. Takotsubo cardiomyopathy a short review. Curr Cardiol Rev 2013; 9:191-196.
[4]	Tamis-Holland JE, Jneid H, Reynolds HR, Agewall S, Brilakis ES, Brown TM, et al. American Heart Association Interventional Cardiovascular Care Committee of the Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology and Prevention; and Council on Quality of Care and Outcomes Research. Contemporary diagnosis and management of patients with myocardial infarction in the absence of obstructive coronary artery disease: A scientific statement from the american heart association. circulation. 2019; 139:e891-e908.
[5]	Agewall S, Beltrame JF, Reynolds HR, Niessner A, Rosano G, Caforio AL, et al. ESC working group position paper on myocardial infarction with non-obstructive coronary arteries. Eur Heart J 2017; 38:143-153.
[6]	Gianni M, Dentali F, Grandi AM, Sumner G, Hiralal R, Lonn E. Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review. Eur Heart J 2006; 27:1523-1529.
[7]	Sharkey SW, Lesser JR, Maron MS, Maron BJ. Why not just call it tako-tsubo cardiomyopathy: a discussion of nomenclature. J Am Coll Cardiol 2011; 57:1496-1497.
[8]	Prasad A, Lerman A, Rihal CS. Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J 2008; 155:408-417.
[9]	Madhavan M, Rihal CS, Lerman A, Prasad A. Acute heart failure in apical ballooning syndrome (TakoTsubo/stress cardiomyopathy): clinical correlates and Mayo Clinic risk score. J Am Coll Cardiol 2011; 57:1400-1401.
[10]	Wittstein IS, Thiemann DR, Lima JA, Baughman KL, Schulman SP, Gerstenblith G, et al. Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med 2005; 352:539-548.
[11]	Roshanzamir S, Showkathali R. Takotsubo cardiomyopathy a short review. Curr Cardiol Rev 2013; 9:191-196.
[12]	Galiuto L, De Caterina AR, Porfidia A, Paraggio L, Barchetta S, Locorotondo G, et al. Reversible coronary microvascular dysfunction: a common pathogenetic mechanism in Apical Ballooning or Tako-Tsubo Syndrome. Eur Heart J 2010; 31:1319-1327.
[13]	Martin EA, Prasad A, Rihal CS, Lerman LO, Lerman A. Endothelial function and vascular response to mental stress are impaired in patients with apical ballooning syndrome. J Am Coll Cardiol 2010; 56:1840-1846.
[14]	Uchida Y, Egami H, Uchida Y, Sakurai T, Kanai M, Shirai S, et al. Possible participation of endothelial cell apoptosis of coronary microvessels in the genesis of Takotsubo cardiomyopathy. Clin Cardiol 2010; 33:371-377.
[15]	Amin HZ, Amin LZ, Pradipta A. Takotsubo cardiomyopathy: a brief review. J Med Life 2020; 13:3-7.
[16]	Zeng JH, Li W, Yao FJ, Liu DH, Li CL, Liu YQ, et al. Myocardial contrast echocardiography in the diagnosis of postoperative takotsubo myocardiopathy: case report and literature review. BMC Cardiovasc Disord 2019; 19:9.
[17]	Brainin P, Frestad D, Prescott E. The prognostic value of coronary endothelial and microvascular dysfunction in subjects with normal or non-obstructive coronary artery disease: A systematic review and meta-analysis. Int J Cardiol 2018; 254:1-9.
[18]	Umnov IN, Bobrov AL, Alekhin MN. Contrast echocardiography with a quantitative assessment of myocardial perfusion in patients with previous Q-wave myocardial infarction. Kardiologiia 2020; 60:17-23.
[19]	Pradhan J, Senior R. Assessment of myocardial viability by myocardial contrast echocardiography: current perspectives. Curr Opin Cardiol 2019; 34:495-501.
[20]	Sun L, Wang Z, Xu T, Pan D, Liang L, Hao J, et al. The value of real-time myocardial contrast echocardiography for detecting coronary microcirculation function in coronary artery disease patients. Anatol J Cardiol 2018; 19:27-33.
[21]	Elesber A, Lerman A, Bybee KA, Murphy JG, Barsness G, Singh M, et al. Myocardial perfusion in apical ballooning syndrome correlate of myocardial injury. Am Heart J 2006; 152:469.e9-13.

Contrast Echocardiography Evaluation of Microcirculation of Myocardial Infarction Caused by Takotsubo Syndrome: Case Report and Literature Review

RichHTML

PDF

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 0

Metrics

Comments