Takotsubo cardiomyopathy: incidence, etiology, complications, therapy and prognosis
Authors:
Milan Babický 1; František Holm 1,2; Miroslav Erbrt 1
Authors‘ workplace:
Kardiologie na Bulovce, s. r. o., Praha
1; Ústav zdravotnických studií Technické univerzity v Liberci
2
Published in:
Vnitř Lék 2016; 62(12): 1021-1027
Category:
Case Reports
Overview
Takotsubo syndrome is presented by acute heart failure and looks like acute coronary syndrome and truly mimics its clinical and ECG features. It is characterised by transient contractility disorder of mostly apical part of left ventricle without any presence of occlusive coronary disease. It is found in 1–2 % patients admitted to the hospital care for acute coronary syndrome. Prognosis is very excellent within complete recovery of left ventricle in several weeks. The etiology is unknown and therapy just symptomatic. Transient dynamic obstruction of left ventricle output tract can be sometimes present as well as hemodynamic instability and arrhythmias. Death was rarely described. We introduce a case of takotsubo syndrome complicated by extreme high transient gradient in left ventricle output tract followed complete recovery in short time.
Key words:
complication – etiology – incidence – takotsubo syndrome – therapy
Sources
1. Sato H, Tateishi H, Uchida T. Takotsubo-type cardiomyopathy due to multivessel spasm. In: Kodama K, Haze K, Hon M, eds. Clinical Aspect of Myocardial Injury: From Ischemia to Heart Failure. Kagakuhyouronsha:Tokyo 1990: 56–64.
2. Lyon RA, Bossone E, Schneider B et al. Current state of knowledge on takotsubo syndrome: a position statement from the task force on takotsubo syndrome of the Heart Failure Association of the European Society of Cardiology. Eur J of Heart Failure 2016; 18(1): 8–27. Dostupné z DOI: <http://dx.doi.org/10.1002/ejhf.424>.
3. Kuběna P, Bohatá Š, Maňoušek J et al. Takotsubo kardiomyopatie, klinické zkušenosti s onemocněním a jednoletá prognóza pacientů. Vnitř Lék 2015; 61(7–8): 619–625.
4. Negahban AQ, Máchal J, Panovský R et al. Neobvyklý typ takotsubo kardiomyopatie – kasuistika a aktuální přehled problematiky. Cor Vasa 2014; 56(5): e403–e410. Dostupné z DOI: <http://dx.doi.org/10.1016/j.crvasa.2013.09.004>.
5. Kawai S, Kitabatake A, Tomoike H. [Takotsubo Cardiomyopathy Group]. Guidelines for diagnosis of takotsubo (ampulla) cardiomyopathy. Circ J 2007; 71(6): 990–992.
6. Lindsay J, Paixao A, Chao T et al. Pathogenesis of the Takotsubo syndrome: a unifying hypothesis. Am J Cardiol 2010; 106(9): 1360–1363. Dostupné z DOI: <http://dx.doi.org/10.1016/j.amjcard.2010.06.068>.
7. Afonso L, Bachour K, Awad K et al. Takotsubo cardiomyopathy: pathogenetic insights and myocardial perfusion kinetics using myocardial contrast echocardiography. Eur J Echocardiogr 2008; 9(6): 849–854. Dostupné z DOI: <http://dx.doi.org/10.1093/ejechocard/jen192>.
8. Khallafi H, Chacko V, Varveralis N et al. “Broken heart syndrome”: catecholamine surge or aborted myocardial infarction? J Invasive Cardiol 2008; 20(1): E9-E13.
9. Dorfman TA, Iskandrian AE. Takotsubo cardiomyopathy: State-of-the-art review. J Nucl Cardiol 2009; 16(1): 122–134. Dostupné z DOI: <http://dx.doi.org/10.1007/s12350–008–9015–3>.
10. Buchholz S, Rudan G. Tako-tsubo syndrome on the rise: a review of the current literature. Postgrad Med J 2007; 83(978): 261–264. Dostupné z DOI:<http://dx.doi.org/10.1136/pgmj.2006.052423>.
11. Boland TA, Lee VH, Bleck TP. Stress-induced cardiomyopathy. Crit Care Med 2015; 43(3): 686–693. Dostupné z DOI: <http://dx.doi.org/10.1097/CCM.0000000000000851>.
12. Citro R, Previtali M, Bossone E. Tako-tsubo cardiomyopathy and drowning syndrome: is there a link? Chest 2008; 134(2): 469. Dostupné z DOI: <http://dx.doi.org/10.1378/chest.08–0541>.
13. Bybee KA, Prasad A, Barsness GW et al. Clinical characteristics and thrombolysis in myocardial infarction frame counts in women with transient left ventricular apical ballooning syndrome. Am J Cardiol 2004; 94(3): 343–346.
14. Ito K, Sugihara H, Katoh S et al. Assessment of Takotsubo (ampulla) cardiomyopathy using 99mTc-tetrofosmin myocardial SPECT – comparison with acute coronary syndrome. Ann Nucl Med 2003; 17(2): 115–122.
15. Donohue D, Movahed MR. Clinical characteristics, demographics and prognosis of transient left ventricular apical ballooning syndrome. Heart Fail Rev 2005; 10(4): 311–316.
16. Buchholz S, Rudan G. Tako-tsubo syndrome on the rise: a review of the current literature. Postgrad Med J 2007; 83(978): 261–264.
17. Pilgrim TM, Wyss TR. Takotsubo cardiomyopathy or transient left ventricular apical ballooning syndrome: A systematic review. Int J Cardiol 2008; 124(3): 283–292.
18. Prasad A, Lerman A, Rihal CS. Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J 2008; 155(3): 408–417. Dostupné z DOI: <http://dx.doi.org/10.1016/j.ahj.2007.11.008>.
19. Singh K, Carson K, Usmani Z et al. Systematic review and meta-analysis of incidence and correlates of recurrence of takotsubo cardiomyopathy. Int J Cardiol 2014; 174(3): 696–701. Dostupné z DOI: <http://dx.doi.org/10.1016/j.ijcard.2014.04.221>.
20. Gianni M, Dentali F, Grandi AM et al. Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review. Eur Heart J 2006; 27(13): 1523–1529.
21. Bybee KA, Kara T, Prasad A et al. Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med 2004; 141(11): 858–865.
22. Merchant EE, Johnson SW, Nguyen P et al. Takotsubo cardiomyopathy: a case series and review of the literature. West J Emerg Med 2008; 9(2): 104–111.
23. Thiele G, Zeymer U, Neumann FJ et al. Intraaortic Balloon Support for Myocardial Infarction with Cardiogenic Shock. N Engl J Med 2012; 367(14): 1287–1296. Dostupné z DOI: <http://dx.doi.org/10.1056/NEJMoa1208410>.
24. De Backer O, Debonnaire P, Gevaert S et al. Prevalence, associated factors and management implications of left ventricular outflow tract obstruction in takotstubo cardiomyopathy: a two-year, two-center experience. Cardiovascular Disorders 2014; 14: 147. Dostupné z DOI: <http://dx.doi.org/10.1186/1471–2261–14–147>.
Labels
Diabetology Endocrinology Internal medicineArticle was published in
Internal Medicine
2016 Issue 12
Most read in this issue
- Thrombophilia
- Coffee as hepatoprotective factor
- Oral antidiabetic drugs in treatment of type 1 diabetes mellitus
- Takotsubo cardiomyopathy: incidence, etiology, complications, therapy and prognosis