Takotsubo syndrome

Gupta, Sanjiv; Gupta, Madan M.

doi:10.1016/j.ihj.2017.09.005

Cited by 39 publications

(61 citation statements)

References 58 publications

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“…Acute ventricular insult in left ventricle triggers stretching and release of neuroendocrine peptides such as brain-natriuretic peptide (BNP). Levels of NT-proBNP were more than twofold higher in patients with TTS than patients with STEMI (4702 vs. 2138 pg/ml, respectively) in a recent study [19].…”

Section: Laboratorymentioning

confidence: 84%

“…Diffuse myocardial edema is typically present in both myocarditis and TTS; however, lack of late gadolinium enhancement in TTS is helpful for differential diagnosis from both acute coronary syndrome an acute myocarditis. Though not standard, common practice for timing of cMRI is within 7 days after the index event and 2-6 months later for assessment of improvement in systolic functions [19].…”

Section: Cardiac Magnetic Resonance Imagingmentioning

confidence: 99%

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Takotsubo Syndrome: Still Graveyard of Case Reports?

Demir¹

2018

Current Perspectives on Cardiomyopathies

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Takotsubo syndrome, or previously named as Takotsubo cardiomyopathy, is an increasingly recognized acute reversible form of heart failure, which is typically seen in postmenopausal women following emotional or physical stress. Although several mechanisms regarding pathophysiology had been proposed, the most common ones include catecholamine toxicity, diffuse epicardial coronary artery spasm and microvascular dysfunction. A vast majority of patients with TTS (>90%) have good prognosis as they regain normal left ventricular systolic function in 3-6 months after the acute phase. Increased awareness among physicians led to the recognition of a great number and variety of conditions associated with TTS and played a key role for the development of new diagnostic criteria. However, there are still big gaps in the management and treatment of this syndrome to be supported with further well-designed randomized controlled trials.

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Section: Laboratorymentioning

confidence: 84%

Section: Cardiac Magnetic Resonance Imagingmentioning

confidence: 99%

Takotsubo Syndrome: Still Graveyard of Case Reports?

Demir¹

2018

Current Perspectives on Cardiomyopathies

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“…Electrocardiogram might show ST-segment changes, T-wave inversions and prolonged QT intervals (5). Cardiac biomarkers such as troponin and NT-pro-brain natriuretric peptide (NT-pro-BNP) are typically elevated (7).…”

Section: Discussionmentioning

confidence: 99%

“…The ▶ Box features diagnostic criteria for TCM suggested by the Mayo Clinic (1). Investigations include electrocardiography, coronary angiography and cardiac MRI (5).…”

Section: Discussionmentioning

confidence: 99%

“…Other conjectured etiologies are coronary artery spasm and plaque rupture (24). The brainheart axis consisting of the anterior cingulate cortex, amygdala, hippocampus, basal ganglia and hypothalamus, play an important role in processing emotions and also in modulating myocardial activity, thereby providing a link between emotional stress and cardiac disease, possibly relevant to the pathophysiology of TCM (5,21).…”

Section: Discussionmentioning

confidence: 99%

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Takotsubo cardiomyopathy and major depressive disorder

Elsayed¹,

Connemann²,

Dahme³

et al. 2018

Nervenheilkunde

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Zusammenfassung Gegenstand und Ziel: Das Tako-Tsubo-Syndrom (TTS) ähnelt klinisch einem akuten Myokardinfarkt und ist häufig mit emotionalem oder physischem Stress assoziiert. Patienten mit TTS stellen sich daher häufig zuerst in einer psychiatrischen Klinik vor; dies kann die adäquate Diagnostik und Therapie verzögern, insbesondere wenn der Psychiater nicht mit TTS vertraut ist. Material und Methoden: Ein klinischer Fall eines TTS wird vorgestellt und diskutiert und das Krankheitsbild des TTS vorgestellt. Ergebnisse: Eine 43-jährige Patientin stellte sich notfallmäßig in unserer psychiatrischen Ambulanz vor. Unmittelbar vor der Vorstellung war es am Arbeitsplatz zu erheblicher Schikane der Patientin gekommen (Mobbing). Zum Vorstellungszeitpunkt beklagte die Patientin akute linksthorakale Schmerzen sowie seit einigen Wochen bestehend gedrückte Stimmung, verminderten Antrieb, Anhedonie, generalisierte Ängste und Schlafprobleme. Das Elektrokardiogramm (EKG) war unauffällig, das Serumtroponin jedoch deutlich erhöht. Die Patientin wurde daraufhin in die Abteilung für Kardiologie verlegt. Herzkatheter und Kardio-MRT zeigten eine apikale Ballonbildung (apical ballooning) und linksventrikuläre Dysfunktion, passend zu TTS. Schlussfolgerungen und klinische Relevanz: Bei Patienten mit akuter Psychopathologie und kardialen und/oder thorakalen Symptomen sollten ein EKG und eine Bestimmung des Serumtroponins durchgeführt werden.

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Current strategies with sensing technologies to eliminate stress cardiomyopathy

Sun

et al. 2021

Biotech and App Biochem

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Stress cardiomyopathy refers weakening of heart muscle due to the continuous stress. Generally, the severe status of stress cardiomyopathy has been revealed after damaging the muscles and measured by the physical changes in the heart system. To overcome this issue, biosensor can be used, which could eliminate the late identification stress cardiomyopathy. With biosensors, different stress markers such as epinephrine, dopamine, catecholamine, α‐amylase, norepinephrine, serotonin and cortisol have been identified by a wide range of developments. These biosensors are available from laboratory to industry at the ranges of nano to macrodevices. To merge with the identification of stress cardiomyopathy, the above strategies might be utilized properly and can aid to reduce the stress‐related problems. This overview gleaned the currently available biosensing methods and the associated biomarkers at various stages of the developments and implementations of stress cardiomyopathy.

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Takotsubo syndrome

Cited by 39 publications

References 58 publications

Takotsubo Syndrome: Still Graveyard of Case Reports?

Takotsubo Syndrome: Still Graveyard of Case Reports?

Takotsubo cardiomyopathy and major depressive disorder

Current strategies with sensing technologies to eliminate stress cardiomyopathy

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