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Beyond apical ballooning: computational modelling reveals morphological features of Takotsubo cardiomyopathy

Pontecorboli, G; Biglino, G; Milano, EG; Sophocleous, F; Biffi, B; Dastidar, AG; Schievano, S; ... Bucciarelli-Ducci, C; + view all (2019) Beyond apical ballooning: computational modelling reveals morphological features of Takotsubo cardiomyopathy. Computer Methods in Biomechanics and Biomedical Engineering , 22 (14) pp. 1103-1106. 10.1080/10255842.2019.1632836. Green open access

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Abstract

Takotsubo cardiomyopathy (TCM) is characterized by transient myocardial dysfunction, typically at the left ventricular (LV) apex. Its pathophysiology and recovery mechanisms remain unknown. We investigated LV morphology and deformation in n = 28 TCM patients. Patients with MRI within 5 days from admission ("early TCM") showed reduced LVEF and higher ventricular volumes, but no differences in ECG, global strains or myocardial oedema. Statistical shape modelling described LV size (Mode 1), apical sphericity (Mode 2) and height (Mode 3). Significant differences in Mode 1 suggest that "early TCM" LV remodeling is mainly influenced by a change in ventricular size rather than apical sphericity.

Type: Article
Title: Beyond apical ballooning: computational modelling reveals morphological features of Takotsubo cardiomyopathy
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/10255842.2019.1632836
Publisher version: https://doi.org/10.1080/10255842.2019.1632836
Language: English
Additional information: © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/)
Keywords: Takotsubo cardiomyopathy, cardiac magnetic resonance, computational modelling, myocardial deformation, statistical shape modelling
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Childrens Cardiovascular Disease
URI: https://discovery.ucl.ac.uk/id/eprint/10078598
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