International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology
Jelena-Rima Ghadri,Ilan S. Wittstein,Abhiram Prasad,Scott W. Sharkey,Keigo Dote,Yoshihiro J. Akashi,Victoria L. Cammann,Filippo Crea,Leonarda Galiuto,Walter Desmet,Tetsuro Yoshida,Roberto Manfredini,Ingo Eitel,Masami Kosuge,Holger Nef,Abhishek Deshmukh,Amir Lerman,Eduardo Bossone,Rodolfo Citro,Takashi Ueyama,Domenico Corrado,Satoshi Kurisu,Frank Ruschitzka,David E. Winchester,Alexander R. Lyon,Elmir Omerovic,Jeroen J. Bax,Patrick Meimoun,G. Tarantini,Charanjit S. Rihal,Shams Y. Hassan,Federico Migliore,John D. Horowitz,Hiroaki Shimokawa,Thomas F. Lüscher,Christian Templin +35 more
TLDR
The clinical expert consensus document part I summarizes the current state of knowledge on clinical presentation and characteristics of TTS and agrees on controversies surrounding TTS such as nomenclature, different TTS types, role of coronary artery disease, and etiology.Abstract:
Takotsubo syndrome (TTS) is a poorly recognized heart disease that was initially regarded as a benign condition. Recently, it has been shown that TTS may be associated with severe clinical complications including death and that its prevalence is probably underestimated. Since current guidelines on TTS are lacking, it appears timely and important to provide an expert consensus statement on TTS. The clinical expert consensus document part I summarizes the current state of knowledge on clinical presentation and characteristics of TTS and agrees on controversies surrounding TTS such as nomenclature, different TTS types, role of coronary artery disease, and etiology. This consensus also proposes new diagnostic criteria based on current knowledge to improve diagnostic accuracy.read more
Citations
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2022 ESC Guidelines on cardio-oncology developed in collaboration with the European Hematology Association (EHA), the European Society for Therapeutic Radiology and Oncology (ESTRO) and the International Cardio-Oncology Society (IC-OS).
Alexander R. Lyon,Teresa López-Fernández,Liam Couch,Riccardo Asteggiano,Marianne C Aznar,Jutta Bergler-Klein,Giuseppe Boriani,Daniela Cardinale,Raul Cordoba,Bernard Cosyns,D Cutter,Evandro de Azambuja,W. De Boer,Susan Dent,Dimitrios Farmakis,Sofie Gevaert,D. Gorog,A. Herrmann,Daniel J. Lenihan,Javid Moslehi,Brenda Moura,Sonja S Salinger,R. Stephens,Thomas M. Suter,Sebastian Szmit,Juan Tamargo,Paaladinesh Thavendiranathan,Carlo G. Tocchetti,P. Van Der Meer,Helena J H van der Pal +29 more
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Stress Cardiomyopathy Diagnosis and Treatment: JACC State-of-the-Art Review
Horacio Medina de Chazal,Marco Giuseppe Del Buono,Lori Keyser-Marcus,Liangsuo Ma,F. Gerard Moeller,Daniel Berrocal,Antonio Abbate +6 more
TL;DR: The proposed risk factors and triggers for the syndrome are reviewed and a practical approach to diagnosis and treatment of the patients with stress cardiomyopathy is discussed, highlighting potential challenges and unresolved questions.
Journal ArticleDOI
2022 ESC Guidelines on cardio-oncology developed in collaboration with the European Hematology Association (EHA), the European Society for Therapeutic Radiology and Oncology (ESTRO) and the International Cardio-Oncology Society (IC-OS).
Alexander R. Lyon,Teresa López-Fernández,Liam Couch,Riccardo Asteggiano,Marianne C. Aznar,Jutta Bergler-Klein,Giuseppe Boriani,Daniela Cardinale,Raul Cordoba,Bernard Cosyns,D Cutter,Evandro de Azambuja,W. De Boer,Susan Dent,Dimitrios Farmakis,Sofie Gevaert,Diana A. Gorog,A. Herrmann,Daniel J. Lenihan,Javid Moslehi,Brenda Moura,Sonja S Salinger,R. Stephens,Thomas M. Suter,Sebastian Szmit,Juan Tamargo,Paaladinesh Thavendiranathan,Carlo G. Tocchetti,P. Van Der Meer,Helena J H van der Pal +29 more
Journal ArticleDOI
Long-Term Prognosis of Patients With Takotsubo Syndrome
Jelena-R. Ghadri,Ken Kato,Victoria L. Cammann,Sebastiano Gili,Stjepan Jurisic,Davide Di Vece,Alessandro Candreva,Katharina J. Ding,Jozef Micek,Konrad A. Szawan,Beatrice Bacchi,Rahel Bianchi,Rena A. Levinson,Manfred Wischnewsky,Burkhardt Seifert,Susanne A. Schlossbauer,Rodolfo Citro,Eduardo Bossone,Thomas Münzel,Maike Knorr,Susanne Heiner,Fabrizio D'Ascenzo,Jennifer Franke,Annahita Sarcon,L. Christian Napp,Miłosz Jaguszewski,Michel Noutsias,Hugo A. Katus,Christof Burgdorf,Heribert Schunkert,Holger Thiele,Johann Bauersachs,Carsten Tschöpe,Burkert Pieske,Lawrence Rajan,Guido Michels,Roman Pfister,Alessandro Cuneo,Claudius Jacobshagen,Gerd Hasenfuß,Mahir Karakas,Wolfgang Koenig,Wolfgang Rottbauer,Samir M. Said,Ruediger C. Braun-Dullaeus,Adrian P. Banning,Florim Cuculi,Richard Kobza,Thomas Fischer,Tuija Vasankari,K.E. Juhani Airaksinen,Grzegorz Opolski,Rafal Dworakowski,Philip MacCarthy,Christoph Kaiser,Stefan Osswald,Leonarda Galiuto,Filippo Crea,Wolfgang Dichtl,Klaus Empen,Stephan B. Felix,Clément Delmas,Olivier Lairez,Ibrahim El-Battrawy,Ibrahim Akin,Martin Borggrefe,John D. Horowitz,Martin Kozel,Petr Tousek,Petr Widimský,Ekaterina Gilyarova,Alexandra Shilova,Mikhail Gilyarov,David E. Winchester,Christian Ukena,Jeroen J. Bax,Abhiram Prasad,Michael Böhm,Thomas F. Lüscher,Frank Ruschitzka,Christian Templin +80 more
TL;DR: It is demonstrated that TTS can either be benign or a life-threating condition depending on the inciting stress factor, and a new classification based on triggers is proposed, which can serve as a clinical tool to predict short- and long-term outcomes of TTS.
Journal ArticleDOI
Incidence of Stress Cardiomyopathy During the Coronavirus Disease 2019 Pandemic.
Ahmad Jabri,Ankur Kalra,Ashish Kumar,Anas Alameh,Shubham Adroja,Hanad Bashir,Amy S. Nowacki,Rohan Shah,Shameer Khubber,Anmar Kanaa'N,David P. Hedrick,Khaled M. Sleik,Neil Mehta,Mina K. Chung,Umesh N. Khot,Samir R. Kapadia,Rishi Puri,Grant W. Reed +17 more
TL;DR: It is suggested that psychological, social, and economic stress related to the COVID-19 pandemic was associated with an increased incidence of stress cardiomyopathy.
References
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Contemporary Definitions and Classification of the Cardiomyopathies An American Heart Association Scientific Statement From the Council on Clinical Cardiology, Heart Failure and Transplantation Committee; Quality of Care and Outcomes Research and Functional Genomics and Translational Biology Interdisciplinary Working Groups; and Council on Epidemiology and Prevention
Barry J. Maron,Jeffrey A. Towbin,Gaetano Thiene,Charles Antzelevitch,Domenico Corrado,Donna K. Arnett,Arthur J. Moss,Christine E. Seidman,James B. Young +8 more
TL;DR: The present classification scheme recognizes the rapid evolution of molecular genetics in cardiology, as well as the introduction of several recently described diseases, and is unique in that it incorporates ion channelopathies as a primary cardiomyopathy.
Journal ArticleDOI
Neurohumoral Features of Myocardial Stunning Due to Sudden Emotional Stress
Ilan S. Wittstein,David R. Thiemann,Joao A.C. Lima,Kenneth L. Baughman,Steven P. Schulman,Gary Gerstenblith,Katherine C. Wu,Jeffrey J. Rade,Trinity J. Bivalacqua,Hunter C. Champion +9 more
TL;DR: Emotional stress can precipitate severe, reversible left ventricular dysfunction in patients without coronary disease andaggerated sympathetic stimulation is probably central to the cause of this syndrome.
Journal ArticleDOI
Circadian variation in the frequency of onset of acute myocardial infarction
James E. Muller,Peter Stone,Zoltan G. Turi,John D. Rutherford,Charles A. Czeisler,Corette B. Parker,W. K. Poole,Eugene R. Passamani,Robert Roberts,Thomas L. Robertson +9 more
TL;DR: If coronary arteries become vulnerable to occlusion when the intima covering an atherosclerotic plaque is disrupted, the circadian timing of myocardial infarction may result from a variation in the tendency to thrombosis.
Journal ArticleDOI
Clinical Features and Outcomes of Takotsubo (Stress) Cardiomyopathy
Christian Templin,Jelena R. Ghadri,Johanna Diekmann,L. Christian Napp,Dana Roxana Bataiosu,Milosz Jaguszewski,Victoria L. Cammann,Annahita Sarcon,Verena Geyer,Catharina A. Neumann,Burkhardt Seifert,Jens P. Hellermann,Moritz Schwyzer,Katharina Eisenhardt,Josef Jenewein,Jennifer Franke,Hugo A. Katus,Christof Burgdorf,Heribert Schunkert,Christian Moeller,Holger Thiele,Johann Bauersachs,Carsten Tschöpe,Heinz-Peter Schultheiss,Charles A. Laney,Lawrence Rajan,Guido Michels,Roman Pfister,Christian Ukena,Michael Böhm,Raimund Erbel,Alessandro Cuneo,Karl-Heinz Kuck,Claudius Jacobshagen,Gerd Hasenfuss,M. Karakas,M. Karakas,Wolfgang Koenig,Wolfgang Koenig,Wolfgang Rottbauer,Samir M. Said,Ruediger C. Braun-Dullaeus,Florim Cuculi,Adrian P. Banning,Thomas Fischer,Tuija Vasankari,K.E. Juhani Airaksinen,Marcin Fijałkowski,Andrzej Rynkiewicz,Maciej Pawlak,Grzegorz Opolski,Rafal Dworakowski,Philip MacCarthy,Christoph Kaiser,Stefan Osswald,Leonarda Galiuto,Filippo Crea,Wolfgang Dichtl,Wolfgang-Michael Franz,Klaus Empen,Stephan B. Felix,Clément Delmas,Olivier Lairez,Paul Erne,Jeroen J. Bax,Ian Ford,Frank Ruschitzka,Abhiram Prasad,Thomas F. Lüscher +68 more
TL;DR: Patients with takotsubo cardiomyopathy had a higher prevalence of neurologic or psychiatric disorders than did those with an acute coronary syndrome and physical triggers, acute neurologics or psychiatric diseases, high troponin levels, and a low ejection fraction on admission were independent predictors for in-hospital complications.
Journal ArticleDOI
Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): A mimic of acute myocardial infarction
TL;DR: Apical ballooning syndrome should be included in the differential diagnosis of patients with an apparent acute coronary syndrome with left ventricular regional wall motion abnormality and absence of obstructive coronary artery disease, especially in the setting of a stressful trigger.
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