Apical Myocardial Thickening in a Patient with Stroke and Takotsubo Stress Cardiomyopathy

Takotsubo Cardiomyopathy (TC) is characterized by akinesis and ballooning of the left ventricle and since its initial report in 1991, has gained recognition as an important cause of acute heart failure. The relationship of TC and stroke is well known, however, it is often challenging to determine causality between these two entities. We present a case of a 41-year-old woman who presented to the Emergency Department with altered mental status and weakness. The patient was diagnosed with stroke and TC that presented with the unusual finding of apical thickening on cardiac imaging.