Stress cardiomyopathy MRI

Stress cardiomyopathy Microchapters
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Unstable angina/non ST elevation myocardial infarction in Stress (Takotsubo) Cardiomyopathy
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

MRI

Cardiac Magnetic Resonance (CMR)

Cardiac magnetic resonance (CMR) is a useful imaging modality in distinguishing between stress cardiomyopathy and myocarditis or MI. In the case of myocarditis or MI, there is delayed hyper-enhancement of gadolinium. However, absence of gadolinium hyper-enhancement supports the diagnosis of stress cardiomyopathy. Also, stress cardiomyopathy results in regional wall abnormality and its extent can best be documented using cardiac magnetic resonance.

MRI Examples

The MRIs below show a patients heart with apical ballooning and then later after resolution of the apical ballooning.

MRI during apical balllooning: {{#ev:youtube|23w6f71zTXI}} ____

MRI following resolution of apical ballooning: {{#ev:youtube|qE0YrlQ5d1o}}