Stress, emotion and the heart: tako-tsubo cardiomyopathy. Issue 974 (5th December 2006)

• Record Type: Journal Article
• Authors: Iqbal, M Bilal; Moon, James C; Guttmann, Oliver P; Shanahan, Paul; Goadsby, Peter J; Holdright, Diana R
• Is Part Of: Postgraduate medical journal. Volume 82:Issue 974(2006)
• Page Start: e29
• Page End: e29
• Publication Date: 2006-12-05
• Subjects: ACE, angiotensin-converting enzyme -- AMI, acute myocardial infarction -- ECG, electrocardiogram -- SUNCT, short-lasting unilateral neuralgiform headache attacks with conjuctival injection and tearing; Medicine -- Periodicals; 610
• DOI: 10.1136/pgmj.2006.051367
• Languages: English
• ISSNs: 0032-5473

Abstract

Abstract : Tako-tsubo cardiomyopathy is a cardiac syndrome precipitated by profound emotional stress and anxiety, particularly in middle-aged women. It presents as a mimic of acute myocardial infarction, but coronary angiography shows normal coronary arteries and a characteristic left ventriculogram resembling an "octopus pot". The condition seems to have a favourable prognosis. Initially described in Japan, and with many names in the literature, it is being increasingly recognised in the West owing to early coronary angiography and primary coronary intervention, accounting for up to 1 in 30 primary cases of angioplasty in some institutions. A typical case is described, and the clinical features, pathophysiology and management reviewed.