Key result
Managing acute complications and underlying triggers optimizes prognosis in reversible Takotsubo syndrome mimicking ACS.
Why the study?
The pathophysiology and mortality predictors of takotsubo syndrome are not well established, and treatment decisions require clarification.
This review article summarizes the clinical presentation, pathophysiology, and treatment decisions for Takotsubo syndrome.
Appropriate acute management remains key for Takotsubo prognosis; extends review summaries but leaves open need for prospective trials.
Takotsubo cardiomyopathy is described as a transient reversible cardiomyopathy which typically occurs in older women after emotional or physical stress. This cardiomyopathy is also recognized as a "syndrome" because it develops in conjunction with various diseases. Since the clinical presentation of takotsubo syndrome (TTS) is similar to acute coronary syndrome (ACS), TTS should be distinguished from ischemic heart disease. Although the pathophysiology of TTS has not well been established, a number of its specific features have been suggested. The predictor of mortality in TTS is still unknown. In this review article, we describe a series of treatment decisions in TTS.
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Watanabe et al. (2018) conducted a review in Takotsubo Syndrome. Takotsubo syndrome is a transient reversible cardiomyopathy that mimics acute coronary syndrome and requires appropriate management of acute complications and primary diseases to ensure a good prognosis.
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