Advancements in the diagnostic workup, prognostic evaluation, and treatment of takotsubo syndrome.

Heart Failure Reviews
Muhammad AliMichel Noutsias

Abstract

Takotsubo syndrome (TTS) is an acute and mostly reversible cardiomyopathy that mimics an acute coronary syndrome with left ventricular (LV) systolic dysfunction without relevant obstructive coronary artery disease. Its prevalence is probably underestimated and reaches 1.2-2% in patients with acute coronary syndrome undergoing coronary catheterization. Although supraphysiological epinephrine levels have been associated with TTS, the detailed pathophysiology is incompletely understood. Chest pain is the most common clinical presentation; however, cardiac decompensation, cardiogenic shock, and sudden cardiac death due to ventricular fibrillation may also be the first clinical manifestations. Patients are mostly postmenopausal women, in whom the condition is commonly associated with emotional triggers; however, men have a higher prevalence of TTS being associated with physical triggers, which has a worse prognosis compared with TTS associated with emotional triggers. As a diagnosis of exclusion, TTS has no single definitive diagnostic test. According to the distribution of LV wall motion abnormalities, various morphological subtypes have been identified. The final diagnosis depends on cardiac imaging with left ventricular angiograp...Continue Reading

References

Mar 22, 1969·British Medical Journal·C M ParkesR G Fitzgerald
Mar 1, 1994·Journal of the American College of Cardiology·S L Beau, J E Saffitz
Jul 14, 2001·Journal of the American College of Cardiology·K TsuchihashiUNKNOWN Angina Pectoris-Myocardial Infarction Investigations in Japan
Mar 12, 2003·Journal of the American College of Cardiology·Yoshiteru AbeHitoshi Tanio
Feb 11, 2005·The New England Journal of Medicine·Ilan S WittsteinHunter C Champion
Dec 16, 2005·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Dariusch HaghiTheano Papavassiliu
May 25, 2006·European Heart Journal·Monica GianniEva Lonn
Aug 23, 2006·American Heart Journal·Ahmad ElesberAbhiram Prasad
Sep 27, 2006·European Heart Journal·Dariusch HaghiUdo Sechtem
Oct 24, 2006·The American Journal of Cardiology·Salvatore AzzarelliAntonio Fiscella
May 29, 2007·Circulation Journal : Official Journal of the Japanese Circulation Society·Sachio KawaiUNKNOWN Takotsubo Cardiomyopathy Group
Jul 14, 2007·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Patrick MeimounChristophe Tribouilloy
Jul 31, 2007·Journal of the American College of Cardiology·Ahmad A ElesberCharanjit S Rihal
Aug 19, 2007·International Journal of Cardiology·Natale Daniele BrunettiMatteo Di Biase
Dec 21, 2007·Nature Clinical Practice. Cardiovascular Medicine·Alexander R LyonSian E Harding
Feb 28, 2008·Journal of Cardiovascular Medicine·Giovanni FazioSalvatore Novo
Mar 13, 2008·QJM : Monthly Journal of the Association of Physicians·D HaghiT Suselbeck
Feb 6, 2009·International Journal of Cardiology·Satoshi KurisuKazuoki Dai
Apr 11, 2009·Journal of the American College of Cardiology·Jacob AbrahamIlan S Wittstein
May 30, 2009·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Felix HeggemannDariusch Haghi
Jul 28, 2009·European Journal of Heart Failure·Holger M NefAlbrecht Elsässer
Feb 2, 2010·Journal of the American College of Cardiology·Scott W SharkeyBarry J Maron
Mar 2, 2010·Gender Medicine·Bruce T KuoGian M Novaro
Jul 24, 2010·AJR. American Journal of Roentgenology·Gabriel C Fernández-PérezJavier Sánchez-González
Nov 16, 2010·Archives of Cardiovascular Diseases·Nicolas MansencalOlivier Dubourg
Nov 23, 2010·Journal of the American College of Cardiology·Elizabeth A MartinAmir Lerman
Jan 29, 2011·Congestive Heart Failure·Cho M WinMaya Guglin
Jul 21, 2011·JAMA : the Journal of the American Medical Association·Ingo EitelMatthias G Friedrich

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Citations

Apr 25, 2020·Current Atherosclerosis Reports·Manal AlasnagMirvat Alasnag
Oct 11, 2020·Current Cardiology Reports·Lindsey TrutterMartha Gulati
Oct 23, 2020·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Jeffrey L AndersonKirk U Knowlton
Nov 5, 2020·Asian Journal of Neurosurgery·Josef FinstererFulvio Alexandre Scorza

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