Next Article in Journal
Pepsinogen testing for evaluation of the success of Helicobacter pylori eradication at 4 weeks after completion of therapy
Previous Article in Journal
sFlt-1, PlGF, sFlt-1/PlGF ratio and uterine artery Doppler for preeclampsia diagnostics
Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessReview

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.
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.
Keywords: Takotsubo cardiomyopathy; Apical ballooning; Excess of catecholamines Takotsubo cardiomyopathy; Apical ballooning; Excess of catecholamines
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.

Show more citation formats Show less citations formats

Article Access Map by Country/Region

1
Only visits after 24 November 2015 are recorded.
Back to TopTop