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Takotsubo cardiomyopathy: The challenging diagnosis in clinical routine
1
Department of Cardiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
2
Department of Radiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2014, 50(1), 1-7; https://doi.org/10.1016/j.medici.2014.05.009
Received: 5 September 2013 / Accepted: 24 November 2013 / Published: 6 June 2014
Takotsubo cardiomyopathy is rapidly reversible heart failure syndrome that usually mimics the symptoms of acute myocardial infarction with the characteristic regional wall-motion abnormalities (classically with a virtual apical ballooning caused by hypokinetic or akinetic apical or midventricular myocardium and hypercontraction of the basal segments) and absence of obstructive coronary artery disease. TC is usually associated with identifiable emotional, psychological or physical stress event and most commonly appears in postmen- opausal women. The certain pathophysiological mechanism remains unknown. However, the central hypothesis is supported by the excess of catecholamines and hyperactivity of nervous system. In the last decades the frequency of the TC diagnosis is increasing rapidly but at the initial presentation the diagnosis remains challenging due to the close similarities between TC and ST elevation myocardial infarction clinical presentations that consider TC as an important part of differential diagnosis in acute coronary syndrome.
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MDPI and ACS Style
Kazakauskaitė, E.; Jankauskas, A.; Lapinskas, T.; Ordienė, R.; Ereminienė, E. Takotsubo cardiomyopathy: The challenging diagnosis in clinical routine. Medicina 2014, 50, 1-7.
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