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27 March 2026 : Case report  Ecuador

Reverse Takotsubo Syndrome Triggered by COVID-19–Associated Cytokine Storm: Unveiling a Novel Pattern of Myocardial Dysfunction in SARS-CoV-2 Infection

Unusual clinical course, Challenging differential diagnosis, Management of emergency care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Killen H. Briones-Claudett ORCID logo ABCDEFG 1,2*, Killen H. Briones-Zamora ORCID logo ABCDEFG 3, Jaime Benites Solís ORCID logo ABCDEFG 2,4, María Antonieta Touriz Bonifaz ORCID logo ABCDEFG 5,6, Enny Berrus Zhumi ORCID logo ABCDEFG 2, Anahí D. Briones-Zamora ORCID logo ABCDEFG 2,3, Diana C. Briones Márquez ORCID logo ABCDEFG 2,4, Angela Germania Monserrate Romero ORCID logo ABCDEFG 5, Miguel Anderson Tayupanta Alban ORCID logo ABCDEFG 5, Hans Mautong ORCID logo ABCDEFG 7

DOI: 10.12659/AJCR.951623

Am J Case Rep 2026; 27:e951623

Figure 2 Transthoracic echocardiography in 4-chamber 2D view. (A) Basal ballooning pattern, in contrast with the apical involvement seen in classical takotsubo cardiomyopathy. (B) Contractile defects in the inferior and inferolateral basal walls, with marked hypokinesia or akinesia, and compensatory hyperkinesia of the apical segment.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923