Key result
Beta-blockers are suggested for the prevention of recurrence of Takotsubo cardiomyopathy, a reversible heart condition often triggered by emotional or physical stress.
Case Report
This case report emphasizes the psychosomatic aspects of Takotsubo cardiomyopathy and suggests beta-blockers for preventing recurrence.
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Hypothesis-generating in stress cardiomyopathy; randomized trials needed before any practice change.
Takotsubo cardiomyopathy is a reversible heart condition initially described in the Japanese literature in the 1990s. The typical presentation mimics an acute coronary syndrome. It is frequently found in elderly women in the context of emotional or physical stress in the absence of significant obstructive coronary disease. The prognosis of the disease is favorable just with supportive care, but little is known about recurrence. The association between onset of Takotsubo cardiomyopathy and emotional triggers is striking but has received little attention in the psychiatric literature. On the basis of current evidence, we suggest consideration of β-blockers for recurrence prevention.
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Costin et al. (2011) conducted a case report in Takotsubo cardiomyopathy. β-blockers was evaluated. Beta-blockers are suggested for the prevention of recurrence of Takotsubo cardiomyopathy, a reversible heart condition often triggered by emotional or physical stress.
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