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Takotsubo Syndrome: Insights into Pathophysiology, Diagnosis, and Management

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: 22 May 2026 | Viewed by 4337

Special Issue Editors


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Guest Editor
General Hospital of Nicosia, 2029 Nicosia, Cyprus
Interests: interventional cardiology; percutaneous coronary intervention (PCI); acute myocardial infarction; acute coronary syndromes; transcatheter interventions; structural interventions; cardiovascular diseases; advanced coronary imaging techniques
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Special Issue Information

Dear Colleagues,

Takotsubo syndrome (TTS) is an acute, reversible cardiomyopathy characterized by transient left ventricular dysfunction, typically in the absence of obstructive coronary artery disease. It often presents with chest pain and ECG changes mimicking acute coronary syndrome (ACS) and is frequently precipitated by physical or emotional stress. Although the exact pathophysiology remains unclear, proposed mechanisms include catecholamine-mediated myocardial stunning, microvascular dysfunction, and autonomic dysregulation.

Despite its transient nature, TTS is associated with significant complications, including acute heart failure, arrhythmias, thromboembolic events, and recurrence. Advances in imaging modalities, biomarker discovery, and risk stratification are refining diagnostic accuracy and prognostic assessment. However, optimal management strategies remain debated, particularly regarding long-term outcomes and preventive approaches.

This Special Issue aims to explore recent advances in the clinical pathophysiology, diagnosis, and clinical management of TTS. We welcome original research, reviews, and case studies that contribute to a deeper understanding of disease mechanisms, risk factors, novel diagnostic tools, and emerging therapeutic strategies.

Dr. Andreas Mitsis
Dr. Nikolaos Kadoglou
Guest Editors

Manuscript Submission Information

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Keywords

  • takotsubo syndrome
  • stress cardiomyopathy
  • acute heart failure
  • cardiac imaging
  • catecholamine surge
  • myocardial dysfunction
  • echocardiography
  • biomarker discovery
  • cardiovascular risk
  • clinical management

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Published Papers (1 paper)

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Review

23 pages, 1353 KB  
Review
Takotsubo Syndrome in 2025: Evolving Concepts in Pathophysiology, Diagnosis, and Long-Term Management
by Alyssa McKenzie and Raed Bargout
J. Clin. Med. 2026, 15(1), 197; https://doi.org/10.3390/jcm15010197 - 26 Dec 2025
Cited by 2 | Viewed by 3787
Abstract
Takotsubo syndrome (TTS) is an acute condition involving left ventricular dysfunction that may present clinically as acute coronary syndrome without obstructive coronary disease or congestive heart failure. Initially considered benign, TTS is now recognized as a complex neurocardiac disorder with hospital morbidity rates [...] Read more.
Takotsubo syndrome (TTS) is an acute condition involving left ventricular dysfunction that may present clinically as acute coronary syndrome without obstructive coronary disease or congestive heart failure. Initially considered benign, TTS is now recognized as a complex neurocardiac disorder with hospital morbidity rates comparable to those of myocardial infarction, as well as similar long-term risks. Recent evidence establishes TTS as a multifactorial process involving catecholamine overload, coronary microvascular dysfunction, myocardial energetic abnormalities, and dysregulation of the brain and heart axes. Developments in echocardiography, cardiac magnetic resonance imaging, and improvements in diagnostic criteria have enhanced the recognition of syndromic phenotypes. Management of TTS continues to remain primarily supportive; however, recent studies have revealed improved functional outcomes with structured cardiac rehabilitation and cognitive behavioral therapies as the first long-term disease-altering approaches. Future studies should combine neurocardiology, imaging, and therapy-focused research. This review integrates the understanding of the epidemiology, pathophysiology, clinical features, diagnostic work-up, and management of TTS, with particular emphasis on developments emerging from the past decade. Full article
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