[PDF] Right ventricular involvement in Takotsubo cardiomyopathy. | Semantic Scholar (2024)

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@article{Haghi2006RightVI, title={Right ventricular involvement in Takotsubo cardiomyopathy.}, author={Dariusch Haghi and Anastasios Athanasiadis and Theano Papavassiliu and Tim Suselbeck and Stephan Fluechter and Heiko Mahrholdt and Martin Borggrefe and Udo Sechtem}, journal={European heart journal}, year={2006}, volume={27 20}, pages={ 2433-9 }, url={https://api.semanticscholar.org/CorpusID:14120592}}
  • D. Haghi, A. Athanasiadis, U. Sechtem
  • Published in European Heart Journal 2006
  • Medicine

RV involvement is common in TTC and seems to be associated with a more severe impairment in LV systolic function and may be suspected by the presence of pleural effusion.

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Atrial CMR-FT may evolve as a superior marker of adverse events over and above established parameters such as LVEF and atrial volume and enhanced bi-atrial active booster pump functions.

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    Joseph DaokoM. RajachandranR. SavareseJ. Orme


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The case of a 62-year-old woman with abdominal pain, nausea, and vomiting, and the first review of the literature on biventricular takotsubo cardiomyopathy that compares its hemodynamic instability and medical management requirements with those of isolated left ventricular takotubo cardsopathy is discussed.

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Right ventricular wall motion abnormalities and a significantly lower left ventricular ejection fraction occur in 26% of patients with takotsubo cardiomyopathy and four weeks later showed that right and left wall motion had returned almost.

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The presence of a transient abnormality in biventricular wall motion beyond a single coronary artery perfusion territory with new electrocardiographic change met the diagnostic criteria of definite TC defined by Mayo Clinic criteria.

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A catecholamine surge related to emotional stress seems to play a major role in the pathogenesis of Takotsubo cardiomyopathy, which is defined as transient cardiac dysfunction.

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    H. Okura


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It has been >25years since the first report of the takotsubo cardiomyopathy (TC). Although left ventriculography was originally used to depict its typical and impressive wall motion abnormality

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Apical ballooning of the left ventricle: first series in white patients
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The findings indicate that right ventricular wall motion abnormalities are one of the criteria for the diagnosis of arrhythmogenic right ventricular cardiomyopathy and may also be seen around the insertion of the moderator band in healthy subjects, so that the significance of their presence at this site in patients undergoing diagnostic investigations for this disease should be interpreted with caution.

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Apical ballooning without apical ballooning.
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Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review.
    M. GianniF. DentaliA. GrandiG. SumnerR. HiralalE. Lonn


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Clinicians should consider this syndrome in the differential diagnosis of patients presenting with chest pain, especially in post-menopausal women with a recent history of emotional or physical stress.

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Images in cardiovascular medicine. Atypical transient left ventricular ballooning without involvement of apical segment.
    P. RoblesM. AlonsoA. HuelmosJ. JiménezL. López Bescós



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Recently, the Mayo Clinic proposed criteria for the clinical diagnosis of the syndrome of left ventricular transient apical ballooning. This syndrome consists of the acute onset of transient,

  • 20
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Early diagnosis of stress-induced apical ballooning syndrome based on classic echocardiographic findings and correlation with cardiac catheterization.
    D. DonohueC. AhsanM. Sanaei-ArdekaniM. Movahed


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Reversible ventricular dysfunction takotsubo cardiomyopathy
    Y. AkashiH. Musha F. Miyake


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Variant form of the acute apical ballooning syndrome (takotsubo cardiomyopathy): observations on a novel entity
    D. HaghiT. Papavassiliu T. Süselbeck



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This work retrospectively evaluated consecutive patients admitted with an acute coronary syndrome between January 2004 and December 2004 and presents a syndrome mimicking classic TTC without involvement of the LV apex.

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    [PDF] Right ventricular involvement in Takotsubo cardiomyopathy. | Semantic Scholar (2024)


    Who is at the highest risk for takotsubo cardiomyopathy? ›

    But researchers believe the true number of cases is higher because providers often don't recognize the condition. Takotsubo cardiomyopathy mostly affects people assigned female at birth (AFAB), who make up about 89% of reported cases. This is especially likely after menopause (mean age range of 58 to 77).

    What is the survival rate for takotsubo syndrome? ›

    Results: A total of 24,701 patients with takotsubo cardiomyopathy were identified. In-hospital mortality rate was 4.2%. A total of 21,994 patients (89.0%) were female. Male patients had a higher mortality rate than females (8.4% vs 3.6%, P < .

    What is the troponin level of takotsubo patients? ›

    In patients with takotsubo (stress) cardiomyopathy (broken heart syndrome), the mean troponin T (TnT) level at the time of admission has been found to be 0.49 ng/mL (normal, < 0.01), and the mean TnI (troponin I) level has been reported as 4.2 ng/mL (normal, < 0.04); during hospitalization, mean peak values for TnT and ...

    How to treat takotsubo cardiomyopathy? ›

    The initial management of TTS includes dual antiplatelet therapy, anticoagulants, beta-blockers, angiotensin-converting enzyme inhibitors or aldosterone receptor blockers, and statins. Treatment is usually provided for up to three months and has a good safety profile.

    What is the nickname for takotsubo cardiomyopathy? ›

    Takotsubo cardiomyopathy, also known as Gebrochenes-Herz syndrome, transient apical ballooning syndrome, apical ballooning cardiomyopathy, stress-induced cardiomyopathy, stress cardiomyopathy, and broken-heart syndrome, is a form of non-ischemic cardiomyopathy.

    Can anxiety cause takotsubo cardiomyopathy? ›

    Indeed, by comparing the aforementioned studies, we are comfortable stating that anxiety, more precisely chronic anxiety disorders, is related to the occurrence of Takotsubo syndrome [22-25].

    What is the ejection fraction of takotsubo syndrome? ›

    Left ventricular ejection fraction ≤ 35% at presentation is a key parameter to identify TTS patients at higher risk not only in the acute phase but also at long-term follow-up.

    Which is the most common symptom in patients presenting with takotsubo cardiomyopathy? ›

    Sudden, sharp chest pain (most common symptom)

    What is the Mayo criteria for takotsubo? ›

    Revised Mayo Clinic diagnostic criteria include the following: Transient dyskinesis of the LV midsegments. Regional wall motion abnormalities beyond a single epicardial vascular distribution. Absence of obstructive coronary artery disease or acute plaque rupture.

    What are the long term effects of takotsubo cardiomyopathy? ›

    Clinical Perspective

    Patients with prior takotsubo cardiomyopathy have persistent limiting symptoms and reduced exercise capacity. Takotsubo cardiomyopathy is associated with long-term structural and metabolic alterations in the myocardium. Takotsubo cardiomyopathy progresses to a persistent heart failure phenotype.

    What does takotsubo feel like? ›

    The most common symptoms are the abrupt (acute) onset of crushing chest pain and difficulty breathing (dyspnea). Anxiety, sweating (diaphoresis), nausea, vomiting, palpitations, and transient loss of consciousness (syncope) can also occur.

    How long does it take to recover from takotsubo? ›

    The good news is that the heart muscle usually heals within 2-4 weeks, and most people fully recover within two months. You may need regular follow-ups with echocardiograms to check your heart's recovery. It is important to manage any physical or emotional stress that may have triggered your condition.

    Who is most likely to get broken heart syndrome? ›

    Risk factors
    • Sex. Broken heart syndrome is more common in women than in men.
    • Age. Most people who have broken heart syndrome are older than 50.
    • Mental health conditions. People who have had or have anxiety or depression may have a higher risk of broken heart syndrome.
    Nov 11, 2023

    Who is most susceptible to cardiomyopathy? ›

    Arrhythmogenic cardiomyopathy is more common in teens and young adults. Dilated cardiomyopathy is more common in adults between 20 and 60 years old. Hypertrophic cardiomyopathy is more common in people in their 30s. Takotsubo cardiomyopathy is more common in women after menopause.

    Which patient is most at risk for developing cardiomyopathy? ›

    Risk factors

    Family history of cardiomyopathy, heart failure and sudden cardiac arrest. Long-term high blood pressure. Conditions that affect the heart. These include a past heart attack, coronary artery disease or an infection in the heart.

    Who is most likely to have the highest risk of heart disease? ›

    Men older than age 45 and women past menopause have the highest risk of a heart event. A family history of heart disease is a risk factor that you can't directly control but that you should be aware of.


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