Private practice with Dr Seth BilazarianView all posts »
Takotsubo cardiomyopathy: Clinical science catches up to clinical practiceJul 19, 2010 16:30 EDT
It's been six years since the publication of the proposed criteria for diagnosis of Takotsubo (or stress-induced) cardiomyopathy, and although it is relatively rare—representing two to three cases per year in my practice—the diagnostic certainty is reassuring and a good example of clinical science catching up to clinical practice.
What has been your experience with Takotsubo cardiomyopathy? Are you able to diagnose a priori? Or do you rely on a coronary angiogram and left ventriculogram to definitively exclude coronary disease? What has been your experience with treatment?
Bybee KA, Kara T, Prasad A, et al. Systematic review: Transient left ventricular apical ballooning: A syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med. 2004;141:858-865. Available here.
Hurst RT, Prasad A, Askew JW, et al. Takotsubo cardiomyopathy: A unique cardiomyopathy with variable ventricular morphology. J. Am. Coll. Cardiol. Img. 2010;3;641-649. Available here.
Kosuge M, Ebina T, Hibi K, et al. Simple and accurate electrocardiographic criteria to differentiate takotsubo cardiomyopathy from anterior acute myocardial infarction. J Am Coll Cardiol. 2010;55;2514-2516. Available here.