{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T22:13:59Z","timestamp":1774390439193,"version":"3.50.1"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Stress cardiomyopathy (Takotsubo syndrome) is a characteristically reversible cardiomyopathy with several potential triggers. The condition has been described in the context of stress echocardiography, particularly following the use of pharmacological agents such as dobutamine. The association between Takotsubo syndrome and exercise stress echocardiography is less commonly reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>Exercise stress echocardiography was utilized in the investigation of dyspnoea in a 62-year-old female referred to the outpatient cardiology clinic. Inducible regional wall motion abnormalities were identified at peak stress, with associated ECG changes. Subsequent multimodality investigation, including cardiac magnetic resonance imaging, confirmed the diagnosis of stress cardiomyopathy, with coronary angiography revealing only minor coronary artery disease. Serial imaging was crucial in demonstrating complete resolution of the initial abnormalities, supporting the diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Takotsubo syndrome during stress echocardiography is a rare occurrence, with relatively few cases having been described in the context of exercise stress testing. This case demonstrated echocardiographic findings that were similar to major ischaemia. A comprehensive multimodality approach was required to exclude significant coronary artery disease and confirm the diagnosis of exercise stress cardiomyopathy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag191","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T13:03:24Z","timestamp":1773234204000},"source":"Crossref","is-referenced-by-count":0,"title":["Exercise stress cardiomyopathy\u2014a case report"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7075-8667","authenticated-orcid":false,"given":"Penni L","family":"Russell","sequence":"first","affiliation":[{"name":"Department of Cardiology, Sunshine Coast University Hospital , 6 Doherty Street, Birtinya, Queensland 4575 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3575-5510","authenticated-orcid":false,"given":"Joshua","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sunshine Coast University Hospital , 6 Doherty Street, Birtinya, Queensland 4575 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J","family":"Dwan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sunshine Coast University Hospital , 6 Doherty Street, Birtinya, Queensland 4575 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6076-4617","authenticated-orcid":false,"given":"David J","family":"Holland","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Sunshine Coast University Hospital , 6 Doherty Street, Birtinya, Queensland 4575 ,","place":["Australia"]},{"name":"School of Medicine and Dentistry, Griffith University , 6 Doherty Street, Birtinya, Queensland 4575 ,","place":["Australia"]},{"name":"School of Human Movement and Nutrition Sciences, The University of Queensland , St Lucia, Queensland 4067 ,","place":["Australia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"key":"2026032416025785800_ytag191-B1","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1002\/ejhf.424","article-title":"Current state of knowledge on Takotsubo syndrome: a position statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology","volume":"18","author":"Lyon","year":"2016","journal-title":"Eur J Heart Fail"},{"key":"2026032416025785800_ytag191-B2","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.ijcard.2016.02.012","article-title":"Takotsubo cardiomyopathy systematic review: pathophysiologic process, clinical presentation and diagnostic approach to Takotsubo cardiomyopathy","volume":"209","author":"Ono","year":"2016","journal-title":"Int J Cardiol"},{"key":"2026032416025785800_ytag191-B3","doi-asserted-by":"crossref","first-page":"1163","DOI":"10.1016\/j.jacc.2024.05.075","article-title":"Recovery of left ventricular function and long-term outcomes in patients with Takotsubo syndrome","volume":"84","author":"Almendro-Delia","year":"2024","journal-title":"J Am Coll Cardiol"},{"key":"2026032416025785800_ytag191-B4","doi-asserted-by":"crossref","first-page":"1955","DOI":"10.1016\/j.jacc.2018.07.072","article-title":"Stress cardiomyopathy diagnosis and treatment: JACC state-of-the-art review","volume":"72","author":"Medina de Chazal","year":"2018","journal-title":"J Am Coll Cardiol"},{"key":"2026032416025785800_ytag191-B5","first-page":"412","article-title":"Dobutamine-induced takotsubo cardiomyopathy: a systematic review of the literature and case report","volume":"19","author":"Hajsadeghi","year":"2018","journal-title":"Anatol J Cardiol"},{"key":"2026032416025785800_ytag191-B6","doi-asserted-by":"crossref","first-page":"2032","DOI":"10.1093\/eurheartj\/ehy076","article-title":"International expert consensus document on Takotsubo syndrome (part I): clinical characteristics, diagnostic criteria, and pathophysiology","volume":"39","author":"Ghadri","year":"2018","journal-title":"Eur Heart J"},{"key":"2026032416025785800_ytag191-B7","first-page":"e33426","article-title":"Treadmill exercise stress test-induced Takotsubo cardiomyopathy: a case report and review of literature","volume":"15","author":"Singh","year":"2023","journal-title":"Cureus"},{"key":"2026032416025785800_ytag191-B8","doi-asserted-by":"crossref","first-page":"ehab724","DOI":"10.1093\/eurheartj\/ehab724.1175","article-title":"Dobutamine stress echocardiography-induced Takotsubo cardiomyopathy. 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