From: Takotsubo syndrome associated with cardioversion: a systematic review
ECG | ECHO pre cardioversion | ECHO post cardioversion | Coronary Catheterization Findings | |
---|---|---|---|---|
Alishetti2018 [12] | NM | NM | Severely reduced LVEF; preserved contraction of basal segment | NM |
Buchter [13] | ST elevation I, aVL, V2-4, ST depression III | Normal LVEF, no regional wall motion abnormality | Apical ballooning; Normal LVEF | low-grade coronary sclerosis without stenoses |
Eggleton [14] | Widespread T wave inversion; QTc 537 ms | Normal LVEF, moderately dilated LA | Apical and mid segment akinesis; hyperdynamic basal segment; LVEF 45% | non-obstructive CAD |
McCutcheon [15] | Normal Sinus Rhythm | Normal LVEF, no regional wall motion abnormality | Normal contractility in basal portion of LV, dyskinesia in the apical portion | Normal coronaries |
Pir [16] | Diffuse T wave inversion | Normal LVEF | Apical, anterior, and inferior segment akinesis with sparing of the basal segment; LVEF 20% | Normal coronaries |
Shah [17] | New Left Bundle Branch Block | NM | Apical akinesis, basal hyperkinesis | Normal coronaries |
Siegfried [18] | Sinus rhythm with low voltage, diffuse T-wave inversions, prolonged QT | Normal LVEF, normal wall motion, mildly dilated left atrium | Apical ballooning; LVEF < 15% | Not performed |
Smyrlis [19] | Sinus tachycardia, new Q waves in V1-4, non-specific ST changes | NM | Apical ballooning, hypercontractile basal segments, LVEF 20–25% | Non-obstructive CAD |
Vizzardi [20] | Sinus rhythm with T wave inversions in V2-6, I, II, II, and aVL | Normal LVEF, LA enlargement, mild MR | Akinesis of apical and middle segments; hyperdynamic basal segments; LVEF 20% | Normal coronaries |
Zaghlol [21] | Sinus tachycardia, ventricular pacing, no ST changes | Normal LVEF | Hypokinesis and ballooning of the apex, hyperdynamic basal segment; LVEF 25% | Non-obstructive CAD |
Valetino [22] | Diffuse ST elevations | Mild left ventricular hypertrophy, normal LVEF | Apical ballooning on ventriculography | Normal coronaries |