scispace - formally typeset
Open AccessJournal ArticleDOI

International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology

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
More filters
Journal ArticleDOI

Stress Cardiomyopathy Diagnosis and Treatment: JACC State-of-the-Art Review

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

Long-Term Prognosis of Patients With Takotsubo Syndrome

Jelena-R. Ghadri, +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.
References
More filters
Journal ArticleDOI

Neurohumoral Features of Myocardial Stunning Due to Sudden Emotional Stress

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

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, +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.
Related Papers (5)

Clinical Features and Outcomes of Takotsubo (Stress) Cardiomyopathy

Christian Templin, +68 more