Figure 10

T2-mapping in Takotsubo cardiomyopathy. 81-year-old female presented with Takotsubo cardiomyopathy including transient ECG-changes and elevated troponin after a generalized seizure. CMR was done 3 days after the initial event. All images shown here are in two-chamber-orientation. Systolic cine frame reveals apical ballooning (A). T2 map indicates elevated apical myocardial T2 reflected by orange colour (B). Conventional T2-weighted STIR image shows increased myocardial signal intensity in the apex that might be difficult to differentiate from intraluminal blood signal in the case of slow flow (C). Late gadolinium enhancement excludes myocardial scar (D).