Takotsubo Cardiomyopathy and Psychiatric Illness: Redefining the Relationship

Masoud, Hannah

doi:10.17987/icfj.v5i0.343

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…TC was described in Japan in the 1990s 1-3,6,7 . The morphology acquired by the left ventricular wall at the end of the systole is similar to the shape of an octopus capture trap, known as Takotsubo, this pathology eventually being named after it [2][3][4][5][6][7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

“…Troponins are often high in TC, but without the significant obstruction of the coronary arteries 1,2,5,6,10,12,13 . Echocardiography and cardiac catheterization are essential to check LV apical ballooning and exclude artery obstruction 3,5,6,11,13 . In TC there is formation of the intraventricular systolic gradient, resulting in a decrease in the ejection fraction 1,2,5,12-14 (Table 1).…”

Section: Introductionmentioning

confidence: 99%

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When not dying breaks the heart!

Costa¹,

Guedes²,

Moreira³

et al. 2023

Braz. J. Hea. Rev.

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Introduction: Takotsubo cardiomyopathy (TC) is a reversible cardiac pathology that develops contractility changes in the middle segments of the left ventricle, often precipitated by a stressor event, and which clinically mimics an acute coronary event. It mainly affects postmenopausal women and presents with clinical, electrocardiographic and laboratory characteristics similar to acute coronary syndrome, always constituting a differential diagnosis of this entity. It can be triggered by a physical or emotional stressor. The pathophysiology of TC remains unknown.Case report: We present a clinical case that poses a diagnostic challenge as the clinical presentation did not indicate cardiac comorbidity. 78-year-old woman was referred to the Emergency Department for attempted suicide by drowning in a river. She presented with a depressive mood reactive to recent experiences, social isolation, overvalued thoughts of worthlessness and guilt. She denied complaints of chest pain or dyspnea. Of the complementary diagnostic tests performed on admission, ECG shows sinus rhythm with ST elevation in V2 stand out. Collaboration from the cardiology was requested and it was assumed Takotsubo syndrome as a probable diagnosis. During hospitalization, there was a good clinical evolution, presenting good clinical response and remission of depressive symptoms.Conclusion: TC is a psychosomatic condition that requires a multidisciplinary approach in the treatment of heart and psychiatric disease. Clinicians should suspect TC in patients who report a recent stressful event accompanied by cardiothoracic symptoms. Since many cases are seen primarily by psychiatry, psychiatrists must be familiar with the syndrome, under penalty of delay in diagnosis and treatment.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%