Takotsubo syndrome: diagnostic work-up and clues into differential diagnosis

被引:13
作者
Giuseppe Del Buono, Marco [1 ,2 ]
Potere, Nicola [1 ]
Guido Chiabrando, Juan [1 ,3 ]
Bressi, Edoardo [1 ,4 ]
Abbate, Antonio [1 ]
机构
[1] Virginia Commonwealth Univ, VCU Pauley Heart Ctr, Richmond, VA USA
[2] Univ Cattolica Sacro Cuore, Dept Cardiovasc & Thorac Sci, Rome, Italy
[3] Hosp Italiano Buenos Aires, Dept Cardiol, Buenos Aires, DF, Argentina
[4] Campus Biomed Univ Rome, Unit Cardiac Sci, Rome, Italy
关键词
broken heart; differential diagnosis; stress cardiomyopathy; Takotsubo; CLINICAL PROFILE; CARDIOMYOPATHY; PREVALENCE; INSIGHTS; OUTCOMES;
D O I
10.1097/HCO.0000000000000672
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of review Takotsubo syndrome represents an increasingly recognized clinical entity characterized by a reversible acute myocardial dysfunction, often triggered by an emotional or physical stress, and independent of an underlying epicardial coronary artery disease. The diagnosis is often challenging because of the nonspecific clinical presentation and the inconclusive noninvasive diagnostic imaging. Recent findings The present review provides a brief overview of Takotsubo syndrome clinical presentation and guides the clinician through the diagnostic work-up of Takotsubo syndrome, highlighting clues into differential diagnosis. A review of clinical management is also provided. Despite increasing awareness and recognition, the diagnosis of Takotsubo syndrome remains challenging and Takotsubo syndrome is often underdiagnosed or misdiagnosed. The prompt recognition of Takotsubo syndrome portends relevant prognostic and therapeutic implications.
引用
收藏
页码:673 / 686
页数:14
相关论文
共 50 条
[41]   Myocardial work and takotsubo syndrome: stress affects work [J].
Vitarelli, Antonio .
INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING, 2022, 38 (08) :1807-1812
[42]   Clinical Presentation and Laboratory Diagnostic Work-Up of a Horse with Tick-Borne Encephalitis in Switzerland [J].
Fouche, Nathalie ;
Oesch, Solange ;
Ziegler, Ute ;
Gerber, Vinzenz .
VIRUSES-BASEL, 2021, 13 (08)
[43]   Diagnostic Work-Up of 449 Consecutive Girls Who Were Referred to be Evaluated for Precocious Puberty [J].
Mogensen, Signe Sloth ;
Aksglaede, Lise ;
Mouritsen, Annette ;
Sorensen, Kaspar ;
Main, Katharina M. ;
Gideon, Peter ;
Juul, Anders .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2011, 96 (05) :1393-1401
[44]   Diagnostic work-up of urinary tract infections in pregnancy: study protocol of a prospective cohort study [J].
Werter, Dominique Esmee ;
Kazemier, Brenda M. ;
van Leeuwen, Elisabeth ;
de Rotte, Maurits C. F. J. ;
Kuil, Sacha D. ;
Pajkrt, Eva ;
Schneeberger, Caroline .
BMJ OPEN, 2022, 12 (09)
[45]   Comprehensive Diagnostic Work-Up for Uncovering the Causes of Sudden Cardiac Death: The Role of Family Members [J].
Monda, Emanuele ;
Diana, Gaetano ;
Bruno, Daniele ;
Rubino, Marta ;
Palmiero, Giuseppe ;
Verrillo, Federica ;
Cirillo, Chiara ;
Cirillo, Annapaola ;
Fusco, Adelaide ;
Caiazza, Martina ;
Dellegrottaglie, Santo ;
Colonna, Diego ;
Sarubbi, Berardo ;
Buono, Pietro ;
Russo, Maria Giovanna ;
Limongelli, Giuseppe .
CARDIOGENETICS, 2024, 14 (04) :221-227
[46]   Evaluation of the InterTAK Diagnostic Score in differentiating Takotsubo syndrome from acute coronary syndrome. A single center experience [J].
Samul-Jastrzebska, Judyta ;
Roik, Marek ;
Wretowski, Dominik ;
Labyk, Andrzej ;
Slubowska, Antonina ;
Bizon, Anna ;
Paczynska, Marzanna ;
Kurnicka, Katarzyna ;
Pruszczyk, Piotr ;
Ciurzynski, Michal .
CARDIOLOGY JOURNAL, 2021, 28 (03) :416-422
[47]   Noninvasive Assessment in Takotsubo Syndrome: A Diagnostic Challenge [J].
Amicone, Sara ;
Impellizzeri, Andrea ;
Tattilo, Francesco Pio ;
Ryabenko, Khrystyna ;
Asta, Claudio ;
Bela, Rebecca ;
Suma, Nicole ;
Canton, Lisa ;
Fedele, Damiano ;
Bertolini, Davide ;
Bodega, Francesca ;
Cavallo, Daniele ;
Marinelli, Virginia ;
Ciarlantini, Mariachiara ;
Pastore, Giuseppe ;
Di Iuorio, Ornella ;
Alvarez, Marcello Casuso ;
Bavuso, Leonardo Luca ;
Salerno, Jessica ;
Vasumini, Nicolo ;
Maida, Angelo ;
Armillotta, Matteo ;
Angeli, Francesco ;
Sansonetti, Angelo ;
Bergamaschi, Luca ;
Foa, Alberto ;
Squeri, Angelo ;
Dall'Ara, Gianni ;
Pizzi, Carmine .
ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 2024, 41 (10)
[48]   Association Between Diagnostic Work-Up and Outcomes of TIA in the Greater Cincinnati Northern Kentucky Stroke Study [J].
Madsen, Tracy E. ;
Khoury, Jane C. ;
Alwell, Kathleen S. ;
Ferioli, Simona ;
Woo, Daniel ;
Mackey, Jason ;
De Los Rios La Rosa, Felipe ;
Demel, Stacie L. ;
Star, Michael ;
Haverbusch, Mary ;
Coleman, Elisheva R. ;
Walsh, Kyle B. ;
Slavin, Sabreena ;
Jasne, Adam ;
Mistry, Eva ;
Kissela, Brett M. ;
Kleindorfer, Dawn .
STROKE, 2021, 52
[49]   Takotsubo syndrome in Parkinson's disease requires extensive diagnostic workup [J].
Finsterer, Josef ;
Bersano, Anna .
HELLENIC JOURNAL OF CARDIOLOGY, 2020, 61 (01) :68-69
[50]   Insulin and takotsubo syndrome: plausible pathophysiologic, diagnostic, prognostic, and therapeutic roles [J].
Madias, John E. .
ACTA DIABETOLOGICA, 2021, 58 (08) :989-996