Stefaan O. A. Van de Walle, MD, Sofie A. Gevaert, MD, Peter J

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Transient Stress-Induced Cardiomyopathy With an “Inverted Takotsubo” Contractile Pattern Stefaan O.A. Van de Walle, MD, Sofie A. Gevaert, MD, Peter J. Gheeraert, MD, Michel De Pauw, MD, Thierry C. Gillebert, MD, PhD Mayo Clinic Proceedings Volume 81, Issue 11, Pages 1499-1502 (November 2006) DOI: 10.4065/81.11.1499 Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 1 Left ventriculography at end-diastolic phase (left) and end-systolic phase (right) showing akinesia of the basal portion of the left ventricle with hyperkinesia of the apex and grade 3 mitral insufficiency. The ejection fraction was 25%. Mayo Clinic Proceedings 2006 81, 1499-1502DOI: (10.4065/81.11.1499) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 2 End-diastolic (left) and end-systolic (right) echocardiographic images demonstrating akinesia of the basal portions of the left ventricle with hyperkinesia of the apex. Mayo Clinic Proceedings 2006 81, 1499-1502DOI: (10.4065/81.11.1499) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 3 Coronary angiograms showing absence of major obstructive disease. Left, Right anterior oblique view of the left coronary artery. Right, Anteroposterior view of the right coronary artery. Mayo Clinic Proceedings 2006 81, 1499-1502DOI: (10.4065/81.11.1499) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions