Published in:
01-02-2008
Management of Tako-tsubo Syndrome
Authors:
Jason M. Tarkin, Maher Khetyar, Juan C. Kaski
Published in:
Cardiovascular Drugs and Therapy
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Issue 1/2008
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Abstract
Introduction
This manuscript reviews the current evidence for proposed pathophysiological mechanisms of Tako-tsubo syndrome and its management.
Discussion
The Tako-tsubo syndrome is defined by the presence of transient left ventricular apical ballooning after an acute coronary syndrome in patients with angiographically normal coronary arteries. Intriguingly, only the apex is affected and compensatory basal hypercontractility is seen. Several mechanisms have been offered as explanations for the characteristic clinical presentation and echocardiographic appearance of this syndrome.
Conclusion
Tako-tsubo syndrome encompasses heterogeneous patient populations and it is likely that different pathogenic mechanisms may operate in different patients. Treatment of the condition is at present empirical and aimed at preserving ventricular function.