Why the study?
Takotsubo syndrome resembles acute myocardial infarction, creating diagnostic challenges, making a systematic diagnostic approach using noninvasive modalities imperative for accurate assessment and management.
How can multimodality noninvasive imaging be used to diagnose and manage Takotsubo syndrome?
How can multimodality noninvasive imaging be used to diagnose and manage Takotsubo syndrome?
This review highlights the role of multimodality noninvasive imaging in diagnosing Takotsubo syndrome and proposes a systematic diagnostic algorithm.
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Proposed algorithm for Takotsubo syndrome may aid noninvasive diagnosis; leaves open need for prospective validation before clinical adoption.
Takotsubo syndrome (TTS) is a clinical syndrome characterized by a transient left ventricular dysfunction whose diagnosis can be challenging due to its resemblance to acute myocardial infarction (AMI). Despite the growing recognition of TTS, acute complications and long-term mortality rates are comparable to those observed in AMI patients. In this context, a systematic diagnostic approach is imperative for an accurate patient assessment, with due consideration of the distinctive characteristics and optimal timing of each imaging modality. Coronary angiography with ventriculography may be reserved for cases presenting with ST-segment elevation, whereas in all other cases, the use of multimodality noninvasive imaging allows for a comprehensive evaluation of typical diagnostic features and detection of acute complications while also providing prognostic insights. The aim of this review is to evaluate the current research on non-invasive modalities and to propose a diagnostic algorithm that will facilitate the identification and management of TTS.
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Amicone et al. (2024) studied this question.
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