Can longitudinal strain analysis differentiate between Takotsubo syndrome and acute coronary syndrome?

Wilk, Aleksandra; Król, Wojciech; Anna, Żarek-Starzewska; Ziemska-Gorczyca, Marlena; Tetera, Weronika; Konopka, Marcin; Binkiewicz-Orluk, Maria; Braksator, Wojciech

doi:10.1111/echo.15510

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…Despite all the advances in ultrasound imaging, echocardiography cannot differentiate between TS and acute coronary syndrome in the acute phase, thus placing coronary angiography as a major investigation in Takotsubo diagnosis [ 91 ].…”

Section: Speckle Tracking Echocardiographymentioning

confidence: 99%

An Extensive Review on Imaging Diagnosis Methods in Takotsubo Syndrome

Paraschiv,

Paduraru,

Balanescu

2023

Rev. Cardiovasc. Med.

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Takotsubo Syndrome (TS) is an acute, reversible cardiac dysfunction, with complex, not entirely understood pathophysiology and heterogeneous clinical picture. Imaging methods each have a crucial role in the diagnosis, in-hospital management, short term and long term follow up. Coronary angiography needs to be performed, especially in the setting of a suspected acute coronary syndrome, in order to rule out coronary artery disease. Echocardiography plays a central role both in the acute and the chronic phase. It is the first imaging investigation performed in patients with TS, valuable to diagnose systolic dysfunction, the wall motion pattern and early complications. Cardiac magnetic resonance tissue characterization provides an essential role in the differential diagnosis of TS with other non-ischemic causes of systolic dysfunction. This review focuses on the imaging methods and the important part they play in the complex management of the disease.

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Section: Speckle Tracking Echocardiographymentioning

confidence: 99%

An Extensive Review on Imaging Diagnosis Methods in Takotsubo Syndrome

Paraschiv,

Paduraru,

Balanescu

2023

Rev. Cardiovasc. Med.

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Left ventricular outflow tract obstruction/hypertrophic cardiomyopathy/takotsubo syndrome: A new hypothesis of takotsubo syndrome pathophysiology

Madias

2024

Current Problems in Cardiology

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A Narrative Review on Broken Heart Syndrome: A Guide for Clinicians to Understand Takotsubo Cardiomyopathy

Woods,

Chandrasekhar,

Rizwan

et al. 2024

Heart and Mind

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Takotsubo cardiomyopathy (TCM) is a transient and reversible cardiomyopathy which exhibits regional wall motion abnormalities in the absence of obstructive coronary artery disease. While TCM is a rare condition (incidence <1%), its diagnosis has increased since its initial description in 1990. While many cases may follow an acute physical or emotional stressor, pathophysiology is likely multifactorial including factors such as catecholamine surges and microvascular dysfunction. On initial presentation, TCM often mimics acute coronary syndrome but may be differentiated with coronary angiography. Additional laboratory testing and imaging including transthoracic echocardiography may help with diagnosis and identification of complications such as left ventricular (LV) outflow obstruction and LV thrombus. Treatment is supportive, although medications such as angiotensin-converting enzyme inhibitors and beta-blockers have shown some benefit in improving long-term outcomes. Acute complications may include arrhythmia, LV or systemic thrombus, and cardiogenic shock, but most patients do well and experience rapid recovery. TCM continues to be an active area of research as there is still much to be learned regarding its pathogenesis, diagnosis, and treatment. This review analyzes the latest research to provide insight into the presentation, pathophysiology, diagnosis, and management of TCM.

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Can longitudinal strain analysis differentiate between Takotsubo syndrome and acute coronary syndrome?

Cited by 3 publications

References 19 publications

An Extensive Review on Imaging Diagnosis Methods in Takotsubo Syndrome

An Extensive Review on Imaging Diagnosis Methods in Takotsubo Syndrome

Left ventricular outflow tract obstruction/hypertrophic cardiomyopathy/takotsubo syndrome: A new hypothesis of takotsubo syndrome pathophysiology

A Narrative Review on Broken Heart Syndrome: A Guide for Clinicians to Understand Takotsubo Cardiomyopathy

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