Reverse takotsubo cardiomyopathy is a rare variant of classic takotsubo cardiomyopathy that presents within a different patient profile and with. Clinical features and outcomes of takotsubo stress. The international takotsubo registry, a consortium of. Dmw deutsche medizinische wochenschrift 2015 unique case of a tako tsubo cardiomyopathy occurring in a patient with hepatic. Ueyama t emotional stressinduced tako tsubo cardiomyopathy. This registry data should lead to a better understanding of this emerging disease entity which mimics myocardial infarction and. Takotsubo syndrome as a consequence and cause of stroke. In the acute stage respiratory insufficiency due to pulmonary oedema, cardiogenic shock and fatal arrhythmias can be observed.
Ueyama t emotional stressinduced takotsubo cardiomyopathy. Stress cardiomyopathy also called apical ballooning syndrome, takotsubo cardiomyopathy, broken heart syndrome, and stressinduced. Takotsubo kardiomyopathie brokenheartsyndrom youtube. Read tako tsubo kardiomyopathie, herz on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available. Takotsubo or stress cardiomyopathy also known as apical ballooning syndrome is a rare, reversible cardiomyopathy. The clinical presentation of tako tsubo cardiomyopathy tcm is similar to an acute myocardial infarction ami with patients having chest pain, st segment elevations on ekg, elevated cardiac enzymes, but cardiac. In recent years, a new cardiac syndrome with transient left ventricular dysfunction has been described in japanese patients. All structured data from the file and property namespaces is available under the creative commons cc0 license. This weakens the heart muscle and means it doesnt pump blood as well as it should. Takotsubo cardiomyopathy occurs when there is an abnormal contraction of the transient left ventricle, creating a balloon shape appearance initially during systole. The japanese first described the heart condition around 1991. Pdf takotsubokardiomyopathie wichtige differenzialdiagnose.
This weakening may be triggered by emotional stress, such as the death of a loved one, a breakup, rejection from a partner or constant anxiety. The role of cardiovascular magnetic resonance in takotsubo. Akute, reversible dysfunktion des linken ventrikels bedingt durch intensiven emotionalen oder physischen stress. Takotsubo cardiomyopathy tcm is a transient cardiac syndrome that involves left ventricular apical akinesis and mimics acute coronary. International expert consensus document on takotsubo syndrome.
Takotsubo cardiomyopathy or takotsubo syndrome tts, also known as stress cardiomyopathy, is a type of nonischemic cardiomyopathy in which there is a sudden temporary weakening of the muscular portion of the heart. Takotsubo cardiomyopathystressinduced cardiomyopathy 2. Clinical manifestations and diagnosis of stress takotsubo. Jun 28, 2018 takotsubo cardiomyopathy is also known as stress cardiomyopathy or broken heart syndrome. Time course of electrocardiographic changes in patients with tako tsubo syndrome. Tako tsubo cardiomyopathy and coronary artery disease.
Tako tsubo syndrome usually has a favorable prognosis and recurrences are rare, in the absence of significant underlying comorbid conditions elesber et al. Tijdens uw opname komen we een paar keer bloed bij u prikken. Takotsubo cardiomyopathy is a weakening of the left ventricle, the hearts main pumping chamber, usually as the result of severe emotional or physical stress, such as a sudden illness, the loss of a loved one, a serious accident, or a natural disaster such as an earthquake. Takotsubo cardiomyopathy brokenheart syndrome harvard.
For reasons unknown, women above age 50 y are much more susceptible to the tako tsubo cardiomyopathy. Acute and reversible cardiomyopathy provoked by stress in women from the united states. Patienten mit einer tako tsubo kardiomyopathie mittels echokardiographie zu untersuchen. Sharkey sw, lesser jr, zenovich ag, maron ms, lindberg j, longe tf, maron bj. Takotsubo cardiomyopathy is a distinctive form of regional left ventricular dysfunction triggered by psychologically stressful events, which has a favorable clinical outcome. Pathophysiology, diagnosis and treatment world j cardiol. Takotsubo cardiomyopathy, also called brokenheart syndrome, is a weakening of the left ventricle that is usually the result of severe stress. The clinical expert consensus statement on takotsubo syndrome tts part ii focuses on the diagnostic workup, outcome, and management. Stresskardiomyopathie takotsubokardiomyopathie inaugural dissertation.
Erstmals wurde dieses syndrom 1990 als eigenstandiges krankheitsbild beschrieben 1. This new entity has been referred to as tako tsubo cardiomyopathy or apical ballooning, named for the particular shape of the endsystolic left ventricle in ventriculography. Until 2000, a few case reports were published, but the presentation of takotsubo cardiomyopathy has increased gradually since 2001. Restriktive kardiomyopathie rcm arrhythmogene rechtsventrikulare kardiomyopathie arvc au. Tako tsubo cardiomyopathy is characterised by the finding of transient left ventricular lv dysynergy typically apical ballooning with concomitant compensatory basal hyperkinesis. Takotsubo cardiomyopathy brokenheart syndrome harvard health. Cardiac wall motion abnormalities are usually transient and resolve completely within days or a few weeks. Takotsubo cardiomyopathy tts, also known as stress cardiomyopathy, is a type of non ischemic cardiomyopathy in which there is a sudden temporary weakening of the muscular portion of the heart. Typisch ist eine vorubergehende wandbewegungsstorung des links oder rechtsventrikularen myokards.
Takotsubo cardiomyopathy tcm is an important disease entity that differs from acute myocardial infarction. It is a temporary heart condition that shares many of the symptoms of a heart attack. Takotsubo cardiomyopathy, also known as broken heart syndrome, is a condition where your heart muscle becomes suddenly weakened. Stresova takotsubo kardiomyopatie roman surovcik, rudolf feuereisl, petr fridl, karel hlavacek, pavel jebavy, jan pavlovic kardiologie na bulovce s. Dnes je nejvice prijimana teorie o omraceni myokardu vysokou koncentraci katecholaminu v obehu.
Troponins in takotsubo cardiomyopathy sciencedirect. Tako tsubo or stress cardiomyopathy also known as apical ballooning syndrome is a rare, reversible cardiomyopathy. The heart muscle injury in tako tsubo cardiomyopathy is not caused by a blocked artery. Tako tsubo cardiomyopathy, also known as apical ballooning syndrome or broken heart syndrome, was first described in japan in 1990. Abdruck frei nur mit quellenhinweis pressetext als pdf gegebenenfalls mit bildmaterial dr. Diese aufdehnung wird auch als ballonierung ballooning bezeichnet. Its symptoms resemble those of a heart attack, and treatment is usually the same as that for heart failure. Tako tsubo cardiomyopathy is a distinctive form of regional left ventricular dysfunction triggered by psychologically stressful events, which has a favorable clinical outcome. Posoudit vyskyt, klinicky prubeh, prognozu a vysledky zatezoveho echokardiografickeho vysetreni s dobutaminem u stresove kardiomyopatie. Several aspects of its clinical profile have been described but it still remains difficult to quickly establish the diagnosis at admission. Pdf on mar 1, 2012, christoph grani and others published takotsubo kardiomyopathie wichtige differenzialdiagnose bei akuten thoraxschmerzen find. Takotsubo syndrome tts is found in about % of all patients with symptoms of acs. For additional examples, see stressors associated with takotsubo.
The takotsubo registry is an international, observational registry in patients with takotsubo cardiomyopathy. Genomewide association study in takotsubo syndrome preliminary results and future directions. Takotsubo syndrome ts is a transient form of left ventricular dysfunction associated with a distinctive contraction pattern in the absence of significant coronary artery disease triggered by stressful events. Natural history and expansive clinical profile of stress takotsubo cardiomyopathy. The clinical presentation of tako tsubo cardiomyopathy tcm is similar to an acute myocardial infarction ami with patients having chest pain, st segment elevations on ekg, elevated cardiac enzymes, but cardiac catheterisation reveals normal. It is usually a temporary condition, and once treated most people recover within a few weeks. Cardiopathie rare dont lincidence ne cesse daugmenter. It is thought to be brought on by extremely stressful events, and affects how the heart works.
Tako tsubo cardiomyopathy is a cardiac syndrome precipitated by profound emotional stress and anxiety, particularly in middleaged women. Takotsubo cardiomyopathy is also known as stress cardiomyopathy or broken heart syndrome. Takotsubo kardiomyopathie happy heart syndrome ghadri jr c et al. Takotsubo kardiomyopatie nekdy zvana jako apical ballooning cardiomyopathy, syndrom zlomeneho srdce, stress cardiomyopathy je vzacne onemocneni nevyjasnene etiologie. Takotsubo stress cardiomyopathy broken heart syndrome. The shape of the heart resembles a japanese octopus trapping pot with a rounded bottom and narrow neck. It presents as a mimic of acute myocardial infarction, but coronary angiography shows normal coronary arteries. It has also been called the ampulla syndrome, broken heart syndrome, neurogenic stunned myocardium or acute stress cardiomyopathy. Takotsubokardiomyopathie sutrkurt eel l herzekrankr ung z. The natural history, management, and outcome of takotsubo stress cardiomyopathy are incompletely understood. Overview left ventricular apical akinesis octopus trap mimics acute coronary syndrome st elevation elevated troponin no coronary stenosis unknown etiology triggered by emotional stressor 3. Takotsubo type cardiomyopathy due to multivessel spasm. Files are available under licenses specified on their description page.
1103 33 1341 1389 317 219 246 1131 387 1510 760 1105 784 785 621 729 1179 61 815 383 717 705 1172 1092 254 1056 289 1018 595 512 1145 180 1385 270 486 1319 716 314 649 866 890 965