Takotsubo cardiomyopathy: incidence, etiology, complications, therapy and prognosis

Czech version

Authors: Milan Babický ¹; František Holm ^1,2; Miroslav Erbrt ¹
Authors‘ workplace: Kardiologie na Bulovce, s. r. o., Praha ¹; Ústav zdravotnických studií Technické univerzity v Liberci ²
Published in: Vnitř Lék 2016; 62(12): 1021-1027
Category: Case Reports

Overview

Takotsubo syndrome is presented by acute heart failure and looks like acute coronary syndrome and truly mimics its clinical and ECG features. It is characterised by transient contractility disorder of mostly apical part of left ventricle without any presence of occlusive coronary disease. It is found in 1–2 % patients admitted to the hospital care for acute coronary syndrome. Prognosis is very excellent within complete recovery of left ventricle in several weeks. The etiology is unknown and therapy just symptomatic. Transient dynamic obstruction of left ventricle output tract can be sometimes present as well as hemodynamic instability and arrhythmias. Death was rarely described. We introduce a case of takotsubo syndrome complicated by extreme high transient gradient in left ventricle output tract followed complete recovery in short time.

Key words:
complication –⁠ etiology –⁠ incidence –⁠ takotsubo syndrome –⁠ therapy

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