Importance of temporal changes in myocardial strain in Takotsubo cardiomyopathy

Anjan Tibrewala*, Benjamin Howard Freed, Nausheen Akhter

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Strain imaging is a sensitive marker of myocardial dysfunction and may be underused in Takotsubo cardiomyopathy (TC). We present a case of biventricular TC in which early improvement in left ventricular longitudinal strain predated subsequent improvement in ejection fraction. Early temporal patterns of strain of the left and right ventricles have not previously been described in TC. Our case illustrates how strain can be a sensitive marker for myocardial dysfunction and recovery in TC. Increased use of strain in TC may have further implications on prognosis and management.

Original languageEnglish (US)
Article numberbcr-2017-220719
JournalBMJ case reports
StatePublished - 2017


  • cardiovascular medicine
  • clinical diagnostic tests
  • heart failure
  • radiology (diagnostics)

ASJC Scopus subject areas

  • Medicine(all)


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