- A “circumferential pattern” of LV myocardial dysfunction characterized by symmetric wall motion abnormalities involving the midventricular segments of the anterior, inferior, and lateral walls should be considered suggestive of TTC and included in the differential diagnosis of acute coronary syndromes.
- The degree of reduction in LV peak systolic strain of the affected regions are often in the same degree of magnitude from those observed in patients with coronary artery disease
- Post systolic shortening is much more pronounced (and a typical feature) in the affected regions compared to patients with ischemia/infarction
- LV twist mechanics is significantly impaired in patients with TTC mainly due to a severe reduction in apical function and is entirely reversible.
- Case report indicate that strain values and patterns completely recover during follow up.
Three forms of TT-CMP are presented
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