Details

Autor(en) / Beteiligte

• Zorzi, Alessandro, MD
• Perazzolo Marra, Martina, MD, PhD
• Migliore, Federico, MD, PhD
• De Lazzari, Manuel, MD
• Tarantini, Giuseppe, MD, PhD
• Iliceto, Sabino, MD
• Corrado, Domenico, MD, PhD

Titel

Relationship between repolarization abnormalities and myocardial edema in atypical Tako-Tsubo syndrome

Ist Teil von

• Journal of electrocardiology, 2013-07, Vol.46 (4), p.348-351

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2013

Quelle

Access via ScienceDirect (Elsevier)

Beschreibungen/Notizen

• Abstract In typical “apical” Tako-Tsubo syndrome (TTS), an association between dynamic T-wave inversion/QTc interval prolongation and myocardial edema as evidenced by cardiac magnetic resonance has been reported. We describe a patient with atypical “mid-ventricular” TTS who showed T-waves inversion/QTc prolongation confined to the lateral leads. Cardiac magnetic resonance revealed transmural myocardial edema with the highest signal intensity in the mid-lateral wall, in accordance with the ECG location of repolarization abnormalities. This finding indicates that the association of dynamic T-wave inversion/QTc interval prolongation with myocardial edema is demonstrable also in atypical variant of TTS and contributes to support the emerging concept of a cause-effect relationship between transient myocardial edema and dynamic repolarization changes.