What does takotsubo look like on Echo?

Key echocardiographic features during the acute phase in takotsubo cardiomyopathy are usually characterized by symmetrical regional abnormalities involving the mid-ventricular segments of the anterior, inferior, and lateral walls (arrow).

How do you test takotsubo?

How is takotsubo cardiomyopathy diagnosed?

1. Chest X-ray. This can give information about your heart and lungs.
2. Blood tests. These are done to check for heart damage.
3. Basic blood work.
4. Cardiac echocardiogram.
5. Cardiac MRI.
6. Coronary angiography or cardiac catheterization.
7. ECG or EKG.

Which is the most common symptom in patients presenting with takotsubo cardiomyopathy?

Takotsubo cardiomyopathy can occur in adults of any age, but most often develops in elderly women. The most common symptoms are the abrupt (acute) onset of crushing chest pain and difficulty breathing (dyspnea).

How does takotsubo affect the heart?

Takotsubo cardiomyopathy is a temporary heart condition that develops in response to an intense emotional or physical experience. It’s also known as stress cardiomyopathy or broken heart syndrome. In this condition, the heart’s main pumping chamber changes shape, affecting the heart’s ability to pump blood effectively.

What is reverse takotsubo?

Reverse takotsubo is a rare form of stress-induced cardiomyopathy and presents with apical hyperkinesis and basal/inferior hypokinesis. It is associated almost exclusively with physical or emotional stress, younger age, less severe symptoms, and faster recovery.

Is takotsubo serious?

Broken heart syndrome is a temporary heart condition that’s often brought on by stressful situations and extreme emotions. The condition can also be triggered by a serious physical illness or surgery. It may also be called stress cardiomyopathy, takotsubo cardiomyopathy or apical ballooning syndrome.

Can takotsubo cause heart failure?

Takotsubo syndrome and its associated variants constitute a type of acute, reversible heart failure that may represent a form of acute catecholaminergic myocardial stunning in the absence of culprit occlusive coronary artery disease to explain the pattern of temporary left ventricular (LV) dysfunction.

Can takotsubo cause ST elevation?

BACKGROUND. Electrocardiogram (ECG) manifestations of takotsubo cardiomyopathy (TC) produce ST-segment elevation or T-wave inversion, mimicking acute coronary syndrome (ACS).

How is transthoracic echocardiography used to diagnose takotsubo cardiomyopathy?

Transthoracic echocardiography (TTE) provides a quick method of diagnosing wall-motion abnormalities typically seen in takotsubo cardiomyopathy, specifically hypokinesis or akinesis of the midsegment and apical segment of the left ventricle. The diagnosis of takotsubo cardiomyopathy is typically confirmed with cardiac angiography.

How to diagnose takotsubo ( broken heart syndrome )?

As previously stated, Transthoracic echocardiography (TTE) provides a quick method of diagnosing wall-motion abnormalities typically seen in takotsubo (stress) cardiomyopathy (broken heart syndrome), [ 36] specifically hypokinesis or akinesis of the midsegment and apical segment of the left ventricle (LV).

Who is most at risk for takotsubo cardiomyopathy?

Takotsubo cardiomyopathy occurs most commonly in post-menopausal women, following a stressful event (emotional or physical). Echocardiography has the advantage of portability and is ideal in acutely ill patients.

Which is the best imaging modality for takotsubo?

Left ventriculography is perhaps the best imaging modality for demonstrating the pathognomonic wall motion and evaluating LVEF.(See the images below.) Coronary angiogram of a patient with takotsubo cardiomyopathy demonstrating normal coronary arteries.