Santos PA, Valero HA

Language: Spanish
References: 44
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ABSTRACT

Introduction: Takotsubo cardiomyopathy is characterized by a reversible left ventricular dysfunction and electrocardiographic changes that may mimic an acute coronary syndrome. It is associated with significant coronary obstruction and extensive and transient abnormalities of left ventricular wall motion. There have been many reports of cases in different regions of the world, so we try to offer an approach to the issue through this review. Objective: To deepen into the diagnostic criteria and therapeutic approach to this syndrome, making an assessment of real conditions in different care settings in the province of Sancti Spiritus. Conclusions: The syndrome develops as an acute myocardial infarction with ST-segment elevation and evolution in most cases is benign. Diagnosis in primary and secondary care in our province is limited on many occasions by lack of invasive coronary angiography studies that can help rule out coronary artery occlusion.

REFERENCES

1. Bassand JP, et al. Guía de Práctica Clínica para el diagnóstico y tratamiento del síndrome coronario agudo sin elevación del segmento ST: Rev Esp Cardiol. 2007;60(10):1070.e1-e80

2. Kurowski V, Kaiser A, von Hof K, Killermann DP, Mayer B, Hartmann F, et al. Apical and mid ventricular transient left ventricular dysfunction syndrome (Tako-tsubo cardiomyopathy): frequency, mechanisms, and prognosis. Chest. 2007; 132: 809-16.

3. Nuñez Gil, I.J. y cols: Cardiopatía de estrés o síndrome de Tako-Tsubo: conceptos actuales: Rev. argent. cardiol. 2009:77(3).

4. TsuchihashiK, Ueshima K, Ushida T, Oh-Mura N, Kimura K, Owa M, et al. Transient left ventricular apical ballooning without coronary stenosis: A novel Herat síndrome mimikcing acute myocardial infarction. Angina pectoris- Myocardial Infarction Investigation in Japan. J Am Coll Cardiol 2001; 38: 11-8.

5. Gianni M, Dentali F, Grande AM, Summer G, Hiralal R, Lonn E. Apical balooning syndrome or takotsubo cardiomiopathy: A sistematic review. Eur Heart J 2006: 27: 1523-9.

6. Virani SS, Klun AN, Mendoza DE, Ferreira AC, de Marchena E. Takotsubo cardiomyopathy, or broken-heart síndrome. Texas Heart Inst J 2007; 34: 76-9.

7. Elizadeh R, Van der Wall EE, Smits PC. Left ventricular apical ballooning. Int J Cardiovasc Imaging. 2006; 22: 327-31.

8. Maron BJ, Towbin JF, Thiene G, Antzelevitch Ch, Corrado D, Arnett D, et al. Contemporary Definitions and Classification of the Cardiomyopathies. Circulation. 2006;113:1807-1816.

9. Dorfman TA, Iskandrian AE, Aqel R. An inusual manifestation of Tako- Tsubo cardiomyopathy. Clin Cardiol 2008; 31: 194-200.

10. Akashi YJ, Nakazawa K, Sakakibara M, Miyake F, Musha H, Masaka K,. 1231- MIBG myocardial scintigraphy in patients with takotsubo cardiomyopathy. J Nucl Med 2004; 45: 112-7.

11. Park JH, Kang SJ, Song JK, Kim HK, Lim CM, Kang DH, et al. Left ventricular apical ballooning due to severe physical stress in patients admitted to the medical ICU. Chest 2005; 128: 296-302.

12. Reuss CS, Lester SJ, Hurst RT, Askew JW, Nager P, Lusk J, et al. Isolated left ventricular basal ballooning phenotype of transient cardiomyiopathy in young women. Am J Cardiol 2007; 99: 1451-3.

13. Wittstein IS, Thiemann DR, Lima JA, Baughman KL, Schulman SP, Gerstenblith G, et al. Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med 2005;352:539-48.

14. Scholte AJ, Bax JJ, Stokkel MP, Plokker T, Kaandorp TA, Lamb HJ, et al. Multimodality imaging to diagnose takotsubo cardiomyopathy. J Nucl Cardiol 2006; 13: 123-6.

15. Kume T, Akasaka T, Kawamoto T, Yoshitani H, Watanabe N, Neishi Y, et al. Assessment of coronary microcirculation in patients with takotsubo-like left ventricular dysfunction. Circ J 2005;69:934-9.

16. Ito K, Sugihara H, Kinoshita N, Azuma A, Matsubara H. Assessment of Takotsubo cardiomyopathy (transient left ventricular apical ballooning) using 99mTc-tetrofosmin, 123I-BMIPP, 123I-MIBG and 99mTc-PYP myocardial SPECT. Ann Nucl Med 2005;19:435-45.

17. Dorfman T, Aqel R, Allred J, Woodham R, Iskandriam AE. Takotsubo cardiomyopathy induced by treadmill exercise testing: An insight into the pathofysiology of transient left ventricular apical ballooning in the absence of obstructive coronary artery disease. J Am Coll Cardiol 2007; 49: 1223-5.

18. Ueyama T, Kasamatsu K, Hano T, Yamamoto K, Tsuruo Y, Nishio I. Emocional stress induces transient left ventricular hypocontraction in the rat via activation of cardiac adrenoceptor: A posible animal model of tako-tsubo cardiomyopathy. Circ J 2002; 66: 712-3.

19. YoshiokaT, Hashimoto A, Tsuchihashi K, Nagao K, Kyuma M, Iowa H, et al. Clinical implications of midventricular obstruction and intravenous propranolol use in transient left ventricular apical balloning (Tako- Tsubo cardiomypathy). Am Heart J 2008; 155: 526, e1-7.

20. Bybee KA, Murphy J, Prassed A, Wright RS, Lerman A, Rihal CS, et al. Acute impairment of regional myocardial glucose uptake in the apical ballooning (tako tsubo) syndrome. J Nucl Cardiol 2006; 13: 44-50.

21. Bybee KA, Prasad A, Barsness GW, Lerman A, Jaffe As, Murphy JG, et al. Clinical Characteristics and thromboliysis in myocardial infarction frame counts in women with transient left ventricular apical ballooning syndrome. Am J Cardiol 2004; 94: 343-6.

22. Meinmoun P, Malaquin D, Sayah S, Benali T, Kuycx-Bore A, Levy F, et al. The coronary flow reservein transient impaired in tako tsubo cardiomyopathy: A prospective study using serial doppler transthoracic echocardiography. J Am Soc Echocardiogr 2008; 21: 72-7.

23. Ueyama T, Hano T, Kasamatsu K, Yamamoto K, Tsuruo Y, Nishio I. Estrogen Attenuates the emocional stress-induced cardiac responses in the animal modelo f Tako-tsubo (Ampolla) cardiomyopathy. J Cardiovasc Pharmacol 2003; 42: S117-9.

24. Cubero J, Moral R. Disfunción apical transitoria: un síndrome en transición hacia la edad adulta. Rev Esp Cardiol 2004;57: 194-197.

25. S Page J, Gormaz C, Rodriguez P, Rudilla M, Manso R, Saldaña M. Disfunción ventricular transitoria tras estrés emocional. Rev Esp Cardiol 2004; 57: 1124-1127.

26. Bybee KA, Kara T, Prased A, Lerman A, Barsness GW, Wright RS, et al. Systematic review: Transient left ventricular apical ballooning: A syndrome that mimics ST.segment elevation myocardial infarction. An Intern Med 2004; 141: 858-65.

27. Patel HM, Cantaría BK, Morris DL, Yazdanfar S. Takotsubo síndrome in African-American Women with atypical presentations: A single-center experience. Clin Cardiol 2007; 30: 14-8.

28. Mitsuma W, Kodama M, Ito M, Tanaka K, Yanagawa T, Ikarashi N, et al. Serial electrocardiografhic findings in women with Takotsubo cardiomyopathy. Am J Cardiol 2007; 100: 106-9.

29. Sharkey SW, Lesser JR, Menon M, Parpart M, Maron MS, Maron BJ. Spectrum and significance of electrocardiographic patterns, troponin levels, and thrombolysis in myocardial infarction frame count in patient with stress (tako tubo) cardiomyopathy and comparison to those in patients with ST-elevation anterios wall myocardial infarction. Am J Cardiol 2008; 101: 1723-8.

30. Kurisu S, Sato H, Kawagoe T, Ishihara M, Shimatani Y, Nishioka K, et al. Tako-tsubo-like left ventricular dysfunction with ST-segment elevation: a novel cardiac syndrome mimicking acute myocardial infarction. Am Heart J 2002;143:448-55.

31. Haghi D, Athanasizdis A, Papavassilin T, Suselbeck T, Fluechter S, Mahrhold H, et al. Rigth ventricular involvement in Takotsubo cardiomyopathy. Eur Heart J 2006; 27: 2433-9.

32. Abdulla I, Kay S, Mussap C, Nelson GL, Rassmussen H, Hansen PS, et al. Apical sparing in tako-tsubo cardiomyopathy. Int Med J 2006; 36: 414-8.

33. Cimarelli S, Imperiale A, Ben-Sellem D, Rischner J, Desour J, Morel O, et al. Nuclear medicine imaging of tako tsubo cardiomyopathy: Typical form and midventricular ballooning syndrome. J Nucl Cardiol 2008; 15: 137-41.

34. Bybee KA, Motici A, Syed IS, Kara T, Prased A, Lennon RJ, et al. Electrocardiography cannot reliably differentiate transient left ventricular apical ballooning syndrome from anterior ST-Segment elevation myocardial infarction. J Electrocardiol 2007; 40: 38. e1-6.

35. Villareal RP, Achari A, Wilansky S, Wilson JM. Anteroapical stunning and left ventricular outflow tract obstruction. Mayo Clin Proc 2001; 76: 79-83.

36. Matsuoka K, Okubo S, Fujii E, Uchida F, KasaiA, Aoki T, et al. Evaluation of the arrhytmogenecity of stress-induced ¨Takotsubo¨ cardiomyopathy from the time course of the 12-lead surface electrocardiogram. Am J Cardiol 2003; 92: 230-3.

37. Ionescu A. Subaortic dynamic obstruction: A contributing factor to haemodinamic instability in Tako-Tsubo síndrome? Eur J Echocardiogr 2008; 9: 384-5.

38. Sharkey SW, Lessner JR, Zenovich AG, Maron MS, Lindberg J, Longe TF, et al. Acute and reversible cardiomyopathy provoked by stress in women from the United States. Circulation 2005; 111: 472-9.

39. Cherian J, Kothari S, Angelis D, Asef A, Downey B, Kirkpatrick J Jr. Atypical takotsubo cardiomyopathy: Dobutamine-precipitated apical ballooning with left ventricular outflow tract obstruction. Texas Heart Inst J 2008; 35: 73-5.

40. Desmet WJ, Adriaenssens BF, Dens JA. Apical ballooning of the left ventricle: First series in white patients. Heart (Brit Cardiac Soc) 2003; 89: 1027-31.

41. Elian D, Osherov A, Matetzky S, Hod H, Guetta V, Feinberg MS, et al. Left ventricular apical ballooning: Not an uncommon variant of acute myocardial infarction in women. Clin Cardiol 2006;29:9-12.

42. Nef HM, Mollman H, Tridl C, Weber M, Hamm C, Elsasser A. Tako-Tsubo cardiomyopathy: NT-proBNP as a reliable parameter of a favourable prognosis? Int J Cardiol 2008; 124: 237-8.

43. Seth PS, Aurigemma GP, Krasnow JM, Tigre DA, Untereker WJ, Meyer TE. A síndrome of transient left ventricular apical wall motion abnormality in the absence of coronary disease: A perspective from the United States. Cardiology 2003; 100: 61-6.

44. Akashi YJ, Musha H, Kida K, Itoh K, Inoue K, Kawasaki K, et al. Reversible ventricular dysfunction takotsubo cardiomyopathy. Eur J Heart Fail 2005; 7: 1171-6.