Emotional Stress and Tako-Tsubo Cardiomyopathy

作者: Yasir Yaqub , Leigh A. Jenkins , Jose Suarez , Piraon Sutthiwan , Michael Phy

DOI: 10.2310/JIM.0B013E3181C9B2B8

关键词:

摘要: Background Tako-tsubo syndrome is a transient cardiomyopathy usually precipitated by an acute emotional or physiological stress. Our study objectives were to review and analyze the impact of stress on clinical variables, echocardiographic characteristics, short-term outcomes in patients with tako-tsubo syndrome. Methods Retrospective chart review. Results Eleven presented (1 man 10 women) during 8-year period (January 2000 January 2008). The split into 2 groups, defined presenting either after (6/11, 54.5%) idiopathic/physical (5/11, 45.5%). mean age was 53.8 (12.6) years. peak troponin T level 0.54 ng/mL (range, 0.03-2.06 ng/mL), left ventricular end-diastolic pressure 15.8 (8.1) mm Hg. Emotional associated younger (P = 0.024), lower Conclusions We conclude that clinical, echocardiographic, outcome characteristics can differentiate from those distinct phenotypes. Clinicians should monitor idiopathic/physically stressed carefully for hemodynamic compromise.

参考文章(25)
Osama E. Elkhateeb, Hussein K. Beydoun, Recurrent long QT syndrome and syncope in transient apical ballooning syndrome (takotsubo cardiomyopathy) Canadian Journal of Cardiology. ,vol. 24, pp. 917- 919 ,(2008) , 10.1016/S0828-282X(08)70700-1
Monica Gianni, Francesco Dentali, Anna Maria Grandi, Glen Sumner, Rajesh Hiralal, Eva Lonn, Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review. European Heart Journal. ,vol. 27, pp. 1523- 1529 ,(2006) , 10.1093/EURHEARTJ/EHL032
Kevin A Bybee, Abhiram Prasad, Greg W Barsness, Amir Lerman, Allan S Jaffe, Joseph G Murphy, R.Scott Wright, Charanjit S Rihal, Clinical characteristics and Thrombolysis In Myocardial Infarction frame counts in women with transient left ventricular apical ballooning syndrome American Journal of Cardiology. ,vol. 94, pp. 343- 346 ,(2004) , 10.1016/J.AMJCARD.2004.04.030
Ilan S. Wittstein, Acute stress cardiomyopathy. Current Heart Failure Reports. ,vol. 5, pp. 61- 68 ,(2008) , 10.1007/S11897-008-0011-3
Abhiram Prasad, Amir Lerman, Charanjit S. Rihal, Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): A mimic of acute myocardial infarction American Heart Journal. ,vol. 155, pp. 408- 417 ,(2008) , 10.1016/J.AHJ.2007.11.008
Venkatesan Vidi, Vinutha Rajesh, Premranjan P. Singh, Jayanta T. Mukherjee, Rodrigo M. Lago, David M. Venesy, Sergio Waxman, Christopher T. Pyne, Thomas C. Piemonte, David E. Gossman, Richard W. Nesto, Clinical characteristics of tako-tsubo cardiomyopathy. American Journal of Cardiology. ,vol. 104, pp. 578- 582 ,(2009) , 10.1016/J.AMJCARD.2009.04.028
Olivier Morel, Frédérique Sauer, Alessio Imperiale, Sébastien Cimarelli, Cyrille Blondet, Laurence Jesel, Annie Trinh, Fabien De Poli, Patrick Ohlmann, André Constantinesco, Pierre Bareiss, Importance of inflammation and neurohumoral activation in Takotsubo cardiomyopathy. Journal of Cardiac Failure. ,vol. 15, pp. 206- 213 ,(2009) , 10.1016/J.CARDFAIL.2008.10.031
Paula S. Seth, Gerard P. Aurigemma, Joshua M. Krasnow, Dennis A. Tighe, William J. Untereker, Theo E. Meyer, A Syndrome of Transient Left Ventricular Apical Wall Motion Abnormality in the Absence of Coronary Disease: A Perspective from the United States The Cardiology. ,vol. 100, pp. 61- 66 ,(2003) , 10.1159/000073040