Cardiac Sympathetic Activity in Stress-induced (Takotsubo) Cardiomyopathy

Overview

Journal Nat Rev Cardiol

Specialty Cardiology & Vascular Diseases

Date 2009 May 28

PMID 19471287

Citations 17

Authors

Abhiram Prasad

Malini Madhavan

Panithaya Chareonthaitawee

Affiliations

Soon will be listed here.

Abstract

Background: A 54-year-old postmenopausal woman presented with retrosternal chest pressure, nausea, and vomiting of 4 h duration. Her medical history included hypertension (treated with metoprolol and ramipril), hyperlipidemia (treated with atorvastatin), and depression (treated with fluoxetine). A few hours before symptom onset, she had witnessed an accident in which her sister sustained serious injuries. The patient was visiting her sister-who was in critical condition in the hospital-when the symptoms began.

Investigations: Physical examination, chest radiography, laboratory testing, electrocardiography, coronary angiography, and PET with 11C hydroxyephedrine.

Diagnosis: Stress-induced (Takotsubo) cardiomyopathy (apical ballooning syndrome).

Management: The patient was monitored with cardiac telemetry. Metoprolol and ramipril were continued.

Citing Articles

Importance of hospital and clinical factors for early mortality in Takotsubo syndrome: Insights from the Swedish Coronary Angiography and Angioplasty Registry.

Gudmundsson T, Redfors B, Ramunddal T, Angeras O, Petursson P, Rawshani A BMC Cardiovasc Disord. 2024; 24(1):359.

PMID: 39004698 PMC: 11247782. DOI: 10.1186/s12872-024-04023-6.

Ischemia and no obstructive coronary arteries (INOCA): A narrative review.

Mehta P, Huang J, Levit R, Malas W, Waheed N, Merz C Atherosclerosis. 2022; 363:8-21.

PMID: 36423427 PMC: 9840845. DOI: 10.1016/j.atherosclerosis.2022.11.009.

A Review of Nuclear Imaging in Takotsubo Cardiomyopathy.

Nayar J, John K, Philip A, George L, George A, Lal A Life (Basel). 2022; 12(10).

PMID: 36294911 PMC: 9604781. DOI: 10.3390/life12101476.

Update of Takotsubo cardiomyopathy: Present experience and outlook for the future.

Bairashevskaia A, Belogubova S, Kondratiuk M, Rudnova D, Sologova S, Tereshkina O Int J Cardiol Heart Vasc. 2022; 39:100990.

PMID: 35281752 PMC: 8913320. DOI: 10.1016/j.ijcha.2022.100990.

Even Mended Hearts Can Break: Takotsubo After Transcatheter Mitral Valve Replacement.

Lipinski J, Thiel A, Pagani A, Otto M, Johnston M, Abdelbaki Z JACC Case Rep. 2021; 1(4):487-492.

PMID: 34316862 PMC: 8289017. DOI: 10.1016/j.jaccas.2019.10.010.

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