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<p>Takotsubo cardiomyopathy can exhibit transient apical wall thickening during recovery, leading to a phenotypic overlap with apical hypertrophic cardiomyopathy. This pseudo-hypertrophic appearance is due to reversible myocardial oedema rather than genuine sarcomeric hypertrophy. We present a case demonstrating this diagnostic challenge and emphasising the importance of serial cardiac magnetic resonance imaging with tissue characterisation.</p>

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Pseudo-apical hypertrophic cardiomyopathy phenotype in Takotsubo cardiomyopathy

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月6日

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  • Mohamed Elzoghby,
  • Anna B. Reid,
  • Gaetano Nucifora

摘要

Takotsubo cardiomyopathy can exhibit transient apical wall thickening during recovery, leading to a phenotypic overlap with apical hypertrophic cardiomyopathy. This pseudo-hypertrophic appearance is due to reversible myocardial oedema rather than genuine sarcomeric hypertrophy. We present a case demonstrating this diagnostic challenge and emphasising the importance of serial cardiac magnetic resonance imaging with tissue characterisation.