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January 10, 2022BiomoleculesOpen Access

Sex Hormone-Specific Neuroanatomy of Takotsubo Syndrome: Is the Insular Cortex a Moderator?

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Key result

This review highlights the insular cortex as an important moderator of the human brain-heart axis in association with sex hormones and summarizes sex-specific neuroanatomy in Takotsubo syndrome.

Why the study?

Takotsubo syndrome occurs predominantly in postmenopausal women with emotional stress, but the role of the insular cortex and sex hormones in modulating the brain-heart axis requires review.

Design

Review

Authors

MNMichiaki NagaiOsaka Gakuin UniversityCFCarola Y. FörsterTexas Medical CenterKDKeigo DoteCardiac Imaging

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Implication

Should not yet change practice in postmenopausal TTS; leaves open sex-hormone modulation of the insular cortex as a research target.

PICO

P
Population
Takotsubo syndrome
E
Exposure / Comparator
Insular cortex and sex hormones

This review highlights the potential role of the insular cortex and sex hormones in the pathophysiology of Takotsubo syndrome via the brain-heart axis.

Cite This Study

Nagai et al. (2022) conducted a review in Takotsubo syndrome. Insular cortex and sex hormones was evaluated. This review highlights the insular cortex as an important moderator of the human brain-heart axis in association with sex hormones and summarizes sex-specific neuroanatomy in Takotsubo syndrome.

synapsesocial.com/papers/6a7efc7bd81da9b9ca9c4781https://doi.org/10.3390/biom12010110
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Mid-Ventricular Variant of Takotsubo Syndrome: Was It Triggered by Insular Cortex Damage?2021 · 14 citations
  2. 2Cardiovascular effects of human insular cortex stimulation1992 · 1,277 citations
  3. 3International Expert Consensus Document on Takotsubo Syndrome (Part II): Diagnostic Workup, Outcome, and Management2018 · 909 citations
  4. 4Acute Right Middle Cerebral Artery Occlusion Resulting in Acute Systolic Heart Failure, Cerebral T-Waves, and QTc Prolongation2018 · 8 citations
  5. 5Insular Involvement Is Associated with QT Prolongation: ECG Abnormalities in Patients with Acute Stroke2005 · 70 citations