Stepwise approach for diagnosis and management of Takotsubo syndrome with cardiac imaging tools View Full Text


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Article Info

DATE

2022-01-18

AUTHORS

Francesco Santoro, Adriana Mallardi, Alessandra Leopizzi, Enrica Vitale, Thomas Stiermaier, Paolo Trambaiolo, Matteo Di Biase, Ingo Eitel, Natale Daniele Brunetti

ABSTRACT

Takotsubo syndrome is featured by transient left ventricle dysfunction in the absence of significant coronary artery disease, mainly triggered by emotional or physical stress. Its clinical presentation is similar to acute coronary syndrome; therefore, cardiac imaging tools have a crucial role. Coronary angiography is mandatory for exclusion of pathological stenosis. On the other side, transthoracic echocardiography is the first non-invasive imaging modality for an early evaluation of left ventricle systolic and diastolic function. Left ventricle morphologic patterns could be identified according to the localization of wall motion abnormalities. Moreover, an early identification of potential mechanical and electrical complications such as left ventricle outflow tract obstruction, mitral regurgitation, thrombus formation, right ventricular involvement, cardiac rupture, and cardiac rhythm disorders could provide additional information for clinical management and therapy. Because of the dynamic evolution of the syndrome, comprehensive serial echocardiographic examinations should be systematically performed. Advanced techniques, including speckle-tracking echocardiography, cardiac magnetic resonance, and nuclear imaging can provide mechanistic and pathophysiologic insights into this syndrome. This review focuses on these aspects and provide a stepwise approach of all cardiac imaging tools for the diagnosis and the management of Takotsubo syndrome. More... »

PAGES

545-558

References to SciGraph publications

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  • 2013-08-07. Takotsubo cardiomyopathy complicated by cardiac tamponade in NETHERLANDS HEART JOURNAL
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    29 schema:description Takotsubo syndrome is featured by transient left ventricle dysfunction in the absence of significant coronary artery disease, mainly triggered by emotional or physical stress. Its clinical presentation is similar to acute coronary syndrome; therefore, cardiac imaging tools have a crucial role. Coronary angiography is mandatory for exclusion of pathological stenosis. On the other side, transthoracic echocardiography is the first non-invasive imaging modality for an early evaluation of left ventricle systolic and diastolic function. Left ventricle morphologic patterns could be identified according to the localization of wall motion abnormalities. Moreover, an early identification of potential mechanical and electrical complications such as left ventricle outflow tract obstruction, mitral regurgitation, thrombus formation, right ventricular involvement, cardiac rupture, and cardiac rhythm disorders could provide additional information for clinical management and therapy. Because of the dynamic evolution of the syndrome, comprehensive serial echocardiographic examinations should be systematically performed. Advanced techniques, including speckle-tracking echocardiography, cardiac magnetic resonance, and nuclear imaging can provide mechanistic and pathophysiologic insights into this syndrome. This review focuses on these aspects and provide a stepwise approach of all cardiac imaging tools for the diagnosis and the management of Takotsubo syndrome.
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    35 schema:keywords Takotsubo syndrome
    36 abnormalities
    37 absence
    38 acute coronary syndrome
    39 additional information
    40 advanced techniques
    41 angiography
    42 approach
    43 artery disease
    44 aspects
    45 cardiac imaging tools
    46 cardiac magnetic resonance
    47 cardiac rhythm disorders
    48 cardiac rupture
    49 clinical management
    50 clinical presentation
    51 complications
    52 coronary angiography
    53 coronary artery disease
    54 coronary syndrome
    55 crucial role
    56 diagnosis
    57 diastolic function
    58 disease
    59 disorders
    60 dynamic evolution
    61 dysfunction
    62 early evaluation
    63 early identification
    64 echocardiographic examination
    65 echocardiography
    66 electrical complications
    67 evaluation
    68 evolution
    69 examination
    70 exclusion
    71 formation
    72 function
    73 identification
    74 imaging
    75 imaging modalities
    76 imaging tool
    77 information
    78 insights
    79 involvement
    80 left ventricle dysfunction
    81 left ventricle systolic
    82 localization
    83 magnetic resonance
    84 management
    85 mitral regurgitation
    86 modalities
    87 morphologic patterns
    88 motion abnormalities
    89 non-invasive imaging modality
    90 nuclear imaging
    91 obstruction
    92 outflow tract obstruction
    93 pathological stenosis
    94 pathophysiologic insights
    95 patterns
    96 physical stress
    97 presentation
    98 regurgitation
    99 resonance
    100 review
    101 rhythm disorders
    102 right ventricular involvement
    103 role
    104 rupture
    105 serial echocardiographic examinations
    106 side
    107 significant coronary artery disease
    108 speckle-tracking echocardiography
    109 stenosis
    110 stepwise approach
    111 stress
    112 syndrome
    113 systolic
    114 technique
    115 therapy
    116 thrombus formation
    117 tool
    118 tract obstruction
    119 transthoracic echocardiography
    120 ventricle dysfunction
    121 ventricle outflow tract obstruction
    122 ventricle systolic
    123 ventricular involvement
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