| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 8661348 | Indian Heart Journal | 2018 | 10 Pages |
Abstract
Takotsubo syndrome is a reversible acute heart failure frequently precipitated by an emotional or physical stress. The clinical presentation resembles acute coronary syndrome. Pathogenesis is complex and may involve brain-heart axis and neuro-hormonal stunning of the myocardium. Coronary angiography reveals normal epicardial arteries with no obstruction or spasm. NT-ProBNP maybe remarkably elevated. Regional wall motion akinesia (RWMA) of left ventricle extends beyond the territory of one coronary artery. Reduced left ventricle ejection fraction (LVEF) and RWMA recover in 6-12 weeks. Prognosis is generally good. Recent meta-analysis shows in-hospital mortality of 1-4.5% and recurrence rate of 5-10% during five year follow-up.
Keywords
IABPNT-proBNPSTEMILVADECHONSTEMILMWHLVOTSAHRWMASAMACSECMON-Terminal pro Brain Natriuretic Peptideleft ventricle outflow tractNiSregional wall motion abnormalityElectrocardiographyECGMRINon-ST elevation myocardial infarctionST elevation myocardial infarctionechocardiographyleft ventricleMagnetic resonance imagingsystolic anterior motionSubarachnoid haemorrhageTakotsubo syndromeApical ballooning syndromeAcute coronary syndromeHPAmitral regurgitationNationwide Inpatient SampleLow molecular weight heparinintra-aortic balloon pumpejection fraction
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Authors
Sanjiv Gupta, Madan Mohan Gupta,