Review of multi-modality imaging update and diagnostic work up of Takotsubo cardiomyopathy

Sarv Priya, Prashant Nagpal, Tanya Aggarwal, James Huynh, Kanika Khandelwal, Ashish Khandelwal

Research output: Contribution to journalReview articlepeer-review


Takotsubo cardiomyopathy (TC) is an acute but reversible non-ischemic heart failure syndrome. It is characterized by a transient form of ventricular dysfunction typically manifesting as basal hyperkinesis with hypokinesia and ballooning of left ventricle mid-cavity and apex. Imaging helps in both diagnosis and follow up. Echocardiogram is the first-line modality to assess the typical contractile dysfunction in suspected patients with catheter angiography showing normal coronary arteries. Cardiac MRI is currently the modality of choice for the non-invasive initial assessment of TC and for follow up imaging. The current review focusses on historical background of TC, its pathophysiology, diagnostic work up and differential diagnosis and provides multimodality imaging work up of TC including role of echocardiogram, invasive catheterization, nuclear imaging, cardiac computed tomography and cardiac MRI including basic and advanced MRI sequences.

Original languageEnglish (US)
Pages (from-to)334-347
Number of pages14
JournalClinical Imaging
StatePublished - Dec 2021


  • Broken heart syndrome
  • Cardiac MRI
  • Echocardiogram
  • Stress cardiomyopathy
  • Takotsubo cardiomyopathy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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