2012
DOI: 10.1136/postgradmedj-2012-130761
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Takotsubo cardiomyopathy: pathophysiology and treatment

Abstract: Since it was first described 20 years ago in Japan, takotsubo cardiomyopathy has received considerable interest from the medical community around the world, particularly in recent years. Although takotsubo cardiomyopathy was originally described as a transient, stress-induced dysfunction of the left ventricular apex, other morphological subtypes have now been described. The pathogenesis of this disorder is likely to be catecholamine mediated myocyte damage and microvascular dysfunction; however, a number of po… Show more

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Cited by 36 publications
(23 citation statements)
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“…As mentioned earlier, the most common finding on the admission ECG was ST-segment elevation. In recent study, the classic ECG features included ST elevation (56%), T wave inversion (39%) and pathological Q waves (32%) [19]. Arrhythmia has been reported in 43.5% of cases with ventricular fibrillation, torsade des pointes, ventricular tachycardia and prolonged QTc being the most common and life-threatening arrhythmias occurring in up to 5.7%.…”
Section: Discussionmentioning
confidence: 99%
“…As mentioned earlier, the most common finding on the admission ECG was ST-segment elevation. In recent study, the classic ECG features included ST elevation (56%), T wave inversion (39%) and pathological Q waves (32%) [19]. Arrhythmia has been reported in 43.5% of cases with ventricular fibrillation, torsade des pointes, ventricular tachycardia and prolonged QTc being the most common and life-threatening arrhythmias occurring in up to 5.7%.…”
Section: Discussionmentioning
confidence: 99%
“…Angiography shows wall motion abnormalities in the absence of significant CAD to explain the distribution of the wall motion abnormalities. Of note, patients with TCM can have concurrent CAD, but not in the distribution of the akinesis, as many of the patients with TCM are post-menopausal women who also have risk factors for CAD [16]. Four of our patients had concurrent CAD, which were deemed as not to be responsible for the wall motion abnormalities that were noted.…”
Section: Discussionmentioning
confidence: 85%
“…When this condition is recognized early, treatment is largely supportive without the need for aggressive resuscitation and antithrombotic therapy. Medical therapy with beta-blockers appears reasonable from the pathophysiological standpoint, although randomized trials that evaluate their role are lacking [8]. A few patients need more advanced support like an intra-aortic balloon pump and extracorporeal membrane oxygenation.…”
Section: Discussionmentioning
confidence: 99%