BACKGROUND It is important to differentiate takotsubo cardiomyopathy from other types of transient ventricular dysfunction. These guidelines, resulting from a workshop sponsored by the Ministry of Health, Labour, and Welfare, Idiopathic Cardiomyopathy Research Committee, outline the steps necessary for diagnosis of takotsubo cardiomyopathy. METHODS AND RESULTS The survey was conducted by mail...

Takotsubo cardiomyopathy is a disorder characterized by left ventricular apical ballooning and electrocardiographic changes in the absence of coronary artery disease. While reversible in many cases, the mechanism of this disorder remains unclear. The most frequent clinical symptoms of takotsubo cardiomyopathy on admission are chest pain and dyspnea, resembling acute myocardial infarction. Here,...

Although most patients with takotsubo cardiomyopathy have a favorable outcome, complications are not uncommon. Recent studies have reported an increase in incidence of cardioembolic complications; however, the association between takotsubo cardiomyopathy and stroke, in particular thromboembolic cerebral infarction, remains unclear. We reported a 44-year-old woman who had a cerebral infarction r...

To the Editor:—I enjoyed reading the case report about Takotsubo cardiomyopathy after general anesthesia by Gavish et al. in the September 2006 issue of ANESTHESIOLOGY. It is noteworthy that another case report of postoperative Takotsubo-like left ventricular dysfunction that occurred in France was published in the same month in the September 2006 issue of Anesthesia & Analgesia and was accompa...

LV systolic function, heavily compromised at presentation, improves rapidly in a period of days to weeks w1, 5–7x. Reports of Takotsubo syndrome after open cardiac surgery are few. It is possible that some cases of transient LV sphericalization after mitral valve replacement surgery described previously to the recognition of this phenomenon were cases of Takotsubo syndrome w2x. It is important ...

DESCRIPTION This 55-year-old lady became acutely hypotensive during induction of anaesthesia with fentanyl, propofol and atracurium for elective cholecystectomy. She developed anterior ST segment elevation and runs of ventricular tachycardia. The operation was abandoned, and subsequent ECGs showed a deep T-wave inversion in the anterolateral leads (figure 1). Her troponin was elevated. The pati...

INTRODUCTION Stress cardiomyopathy, also known as Takotsubo cardiomyopathy or left ventricular apical ballooning, has been linked to emotional or physical stress resulting in transient left ventricular dysfunction. It typically affects the mid and apical left ventricular segments. At onset, it resembles acute myocardial infarction, due to the acute onset of chest pain and ST-T segment elevation...

Takotsubo cardiomyopaty is a recently described syndrome characterized by transient left ventricular dysfunction, mimicking an acute coronary syndrome and usually precipitated by a physical or emotional stress. We report the first case of Takotsubo cardiomyopathy after acute diarrhea in a man. It may be argued that severe diarrhea in predisposed individuals may cause an acute stress resulting i...

. Hurst RT, Prasad A, Askew JW 3rd, Sengupta PP, Tajik AJ. Takotsubo cardiomyopathy: a unique cardiomyopathy with variable ventricular morphology. J Am Coll Cardiol Img 2010;3:641–9. . Donohue D, Ahsan C, Sanaei-Ardekani M, Movahed MR. Early diagnosis of stress-induced apical ballooning syndrome based on classic echocardiographic findings and correlation with cardiac catheterization. J Am Soc E...

INTRODUCTION Myasthenia gravis is a neuromuscular junction post-synaptic autoimmune disorder. Myasthenic crisis is characterized by respiratory failure requiring mechanical ventilation. Takotsubo cardiomyopathy is a rare clinical syndrome defined as a profound but reversible left ventricular dysfunction in the absence of coronary artery disease. CASE PRESENTATION We report a unique case of a ...