Takotsubo Syndrome
Downloads
Introduction: Acute cardiomyopathy or Tako-Tsubo syndrome (TTS) is a transient acute cardiac phenomenon characterized by apical, mid-ventricular or more rarely basal atresia of the left ventricle (LV) that mimics the symptoms of acute coronary syndrome (ACS).
Materials and methods: This work is a descriptive retrospective study over a 14-month period involving 5 cases of TTS.
The objective: is to focus on the main clinical, electrical, coronary and radiological features of the TTS.
Outcome: the prevalence of STT on all ACS during the study period; was 5.1%. The representation is exclusively female. The average age was 64 years old. Psychic stress was a common triggering factor for the entire study population. Chest pain was the main symptom. The electrical signs were dominated by signs of ischemic epicardial ischemia with only one case of endocardial ishemia. All patients had an initially elevated troponin. Acute echocardiography demonstrated segmental kinetic disorders with transient left ventricular dysfunction. The entire population did not have significant coronary angiography. MRI did not indicate late enhancement or lack of perfusion or edema
Sato H., Tateishi H, Uchida T, et al. Kodama K, Haze K, Hon M, eds. Clinical Aspect of Myocardial Injury: From Ischaemia to Heart Failure. Tokyo: Kagakuhyouronsya; 1990 : 56-64
Sharkey SW, Lesser JR, Maron MS, Maron BJ. Why not just call it tako-tsubo cardiomyopathy: a discussion of nomenclature. J Am Coll Cardiol 2011; 57: 1496-7.
Lyon AR, Bossone E, Schneider B, et al. 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. Eur J Heart Fail 2016; 18: 8-27
Finsterer J, Stollberger C. Neurological and non-neurological triggers of Takotsubo syndrome in the pediatric population. Int J Cardiol 2015; 179: 345-7.
Bossone E, Savarese G, Ferrara F, et al. Takotsubo cardiomyopathy: overview. Heart Fail Clin 2013; 9: 249-66.
Kurowski V, Kaiser A, Von Hof K, Killermann DP, Mayer B, Hartmann F, et al. Apical and midventricular transient left ventricular dysfunction syndrome (takotsubo cardiomyopathy). Frequency, mechanisms, and prognosis. Chest 2007;132:809–16.
Bybee K.A., Kara T., Prasad A. et al. Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med. 2004 ; 141 (11) : 858-65
Kawai S., Kitabatake A., Tomoike H. Guidelines for diagnosis of takotsubo (ampulla) cardiomyopathy. Circ J. 2007 ; 71 (6) : 990-2
Jelena-Rima Ghadri and al. International Expert Consensus Document on Takotsubo Syndrome (Part II): Diagnostic Workup, Outcome, and Management, European Heart Journal, Volume 39, Issue 22, 7 June 2018, Pages 2047–2062
Donohue D., Movahed M.R. Clinical characteristics, demographics and prognosis of transient left ventricular apical ballooning syndrome. Heart Fail Rev. 2005 ; 10 (4) : 311-6
Gianni M., Dentali F., Grandi A.M., Sumner G., Hiralal R., Lonn E. Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review. Eur Heart J. 2006 ; 27 (13) : 1523-9
Sharkey SW, Lesser JR, Zenovich AG, et al. Acute and reversible cardiomyopathy provoked by stress in women from the United States. Circulation 2005 ; 111 : 472-
Pavin D, Le Breton H, Daubert C . Human stress cardiomyopathy mimicking acute myocardial syndrome. Heart 1997 ; 78 : 509-11
Finsterer J, Stollberger C. Neurological and non-neurological triggers of Takotsubo syndrome in the pediatric population. Int J Cardiol 2015; 179: 345-7
Lyon AR, Bossone E, Schneider B, et al. 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. Eur J Heart Fail 2016; 18: 8-27. (Review)
Templin C, Ghadri JR, Diekmann J, et al. Clinical Features and Outcomes of Takotsubo (Stress) Cardiomyopathy. N Engl J Med 2015; 373: 929-38
Afonso L., Bachour K., Awad K., Sandidge G. Takotsubo cardiomyopathy: pathogenetic insights and myocardial perfusion kinetics using myocardial contrast echocardiography. Eur J Echocardiogr. 2008 ; 9 (6) : 849-54
Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging 2015; 16: 233-70. (Review)
W ittstein IS. Stress cardiomyopathy: a syndrome of catecholamine-mediated myocardial stunning? Cell Mol Neurobiol 2012; 32: 847-57. (Review)
Tsuchihashi K, Ueshima K, Uchida T, et al. for the Angina Pectoris-Myocardial Infarction Investigations in Japan. Transient left ventricular apical ballooning without coronary artery stenosis : a novel heart syndrome mimicking acute myocardial infarction. J Am Coll Cardiol 2001 ; 38 : 11-8
Lipiecki J, Durel N , Decalf V, et al. Ballonisation apicale transitoire du ventricule gauche ou syndrome du tako-tsubo. Arch Mal Cœur 2005 ; 98 : 275-80
Pilgrim T. M., Wyss T. R. Takotsubo cardiomyopathy or transient left ventricular apical ballooning syndrome: A systematic review. Int J Cardiol. 2008 ; 124 (3) : 283-92
Prasad A., Lerman A., Rihal C.S. Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J. 2008 ; 155 (3) : 408-17
Sharkey S.W., Windenburg D.C., Lesser J.R. et al. Natural History and Expansive Clinical Profile of Stress (Tako-Tsubo) Cardiomyopathy. J Am Coll Cardiol. 2010 ; 55 (4) : 333-41
Merchant E.E., Johnson S.W., Nguyen P., Kang C., Mallon W.K. Takotsubo cardiomyopathy: a case series and review of the literature. West J Emerg Med. 2008 ; 9 : 104-11
Sealove B.A., Tiyyagura S., Fuster V. Takotsubo cardiomyopathy. J Gen Intern Med. Nov 2008 ; 23 (11) : 1904-8
Bonacchi M., Valente S., Harmelin G. et al. Extracorporeal Life Support as Ultimate Strategy for Refractory Severe Cardiogenic Shock Induced by Tako-tsubo Cardiomyopathy: A New Effective Therapeutic Option. Artif Organs. 2009 ; 33 (10) : 86670
Singh K, Carson K, Usmani Z, Sawhney G, Shah R, Horowitz J. Systematic review and meta-analysis of incidence and correlates of recurrence of takotsubo cardiomyopathy. Int J Cardiol 2014; 174: 696-701. (Review).
All Content should be original and unpublished.