La cardiomiopatia takotsubo: Documento di consenso

Translated title of the contribution: Takotsubo cardiomyopathy: A consensus document

Salvatore Novo, Yoshihiro Akashi, Eloisa Arbustini, Pasquale Assennato, Salvatore Azzarelli, Giuseppe Barbaro, Giovanni Fazio, Francesco Fedele, Massimo Giordan, Pietro Mazzarotto, Maria Grazia Modena, Giuseppina Novo, Guido Parodi, Mario Previtali, Claudio Rapezzi, Francesca Sconci, Paolo Sganzerla, Francesco Tona, Jorge A. Salerno-Uriarte

Research output: Contribution to journalArticle

Abstract

Takotsubo cardiomyopathy is a syndrome characterized by acute regional systolic dysfunction of the left ventricle, frequently related to psycho-physical acute stress, and usually reversible. This rare syndrome involves more often the female sex with the highest frequency of occurrence between the seventh and eighth decade of life. Etiology has not been clarified yet and several hypotheses have been postulated: multiple epicardial coronary artery damage, abnormal coronary microcirculation, catecholamine-mediated cardiac toxicity, and neurogenic stunning. Clinical presentation is not easy to distinguish from an acute coronary syndrome: chest pain at rest or dyspnea, new-onset electrocardiographic changes, characterized by ST-segment elevation or T-wave inversion. Coronary angiography, which should be performed within 48 h of symptom onset in order to be diagnostic, excludes the presence of significant atherosclerotic stenosis or plaque rupture. Ventricular angiography shows the typical regional wall motion abnormalities (apical akinesia and hyperkinesia of the mid-basal segments) that give to the syndrome its name (takotsubo is a traditional Japanese octopus trap or pot). Echocardiography performed in the acute phase also evidences wall motion abnormalities that characteristically regress in the following days. There is no specific treatment for this syndrome, but supportive and symptomatic therapy is usually administered.

Translated title of the contributionTakotsubo cardiomyopathy: A consensus document
Original languageItalian
Pages (from-to)785-797
Number of pages13
JournalGiornale Italiano di Cardiologia
Volume9
Issue number11
Publication statusPublished - Nov 2008

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Novo, S., Akashi, Y., Arbustini, E., Assennato, P., Azzarelli, S., Barbaro, G., Fazio, G., Fedele, F., Giordan, M., Mazzarotto, P., Modena, M. G., Novo, G., Parodi, G., Previtali, M., Rapezzi, C., Sconci, F., Sganzerla, P., Tona, F., & Salerno-Uriarte, J. A. (2008). La cardiomiopatia takotsubo: Documento di consenso. Giornale Italiano di Cardiologia, 9(11), 785-797.