Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome) Questions & Answers

Updated: Jul 31, 2019
  • Author: Eric B Tomich, DO; Chief Editor: Erik D Schraga, MD  more...
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Questions & Answers

Overview

What is takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What are the modified Mayo Clinic criteria for diagnosis of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What is the pathogenesis of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What causes takotsubo (stress) cardiomyopathy (broken heart syndrome)?

Which stressors precede the development of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What are the risk factors for takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What is the prevalence of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What is the prognosis of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What are possible complications of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

Presentation

Which clinical history is characteristic of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What are the physical findings characteristic of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

DDX

When should a diagnosis of takotsubo (stress) cardiomyopathy (broken heart syndrome) be considered?

What conditions should be considered in the differential diagnoses of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What are the differential diagnoses for Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome)?

Workup

Which is the approach to evaluation of suspected takotsubo (stress) cardiomyopathy (broken heart syndrome)?

Which lab findings are characteristic of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What is the role of echocardiography in the diagnosis of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What is the role of cardiac angiography in the diagnosis of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

Which imaging studies may be helpful in the diagnosis of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What is the role of ECG in the diagnosis of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

Treatment

What is included in prehospital care for takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What is included in inpatient care for takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What is included in long-term monitoring following treatment for takotsubo (stress) cardiomyopathy (broken heart syndrome)?

Which specialist consultations are needed for the treatment of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What should be included in emergency department (ED) care of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

When are standard acute coronary syndrome (ACS) therapies used in the treatment of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

How should congestive heart failure (CHF) be managed in patients with takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What is the role of intra-aortic balloon pump (IABP) in the treatment of takotsubo (stress) cardiomyopathy (broken heart syndrome)?

How are arrhythmias managed in patients with takotsubo (stress) cardiomyopathy (broken heart syndrome)?

What are the indications for advanced cardiac life support (ACLS) in the treatment takotsubo (stress) cardiomyopathy (broken heart syndrome)?

Medications

Which medications are used to treat takotsubo (stress) cardiomyopathy (broken heart syndrome)?

Which medications in the drug class Calcium Channel Blockers are used in the treatment of Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome)?

Which medications in the drug class Beta-adrenergic Blockers are used in the treatment of Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome)?

Which medications in the drug class Angiotensin-converting Enzyme (ACE) Inhibitors are used in the treatment of Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome)?

Which medications in the drug class Antiplatelet Agents are used in the treatment of Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome)?

Which medications in the drug class Antihypertensive Agents are used in the treatment of Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome)?

Which medications in the drug class Thiazide Diuretics are used in the treatment of Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome)?

Which medications in the drug class Loop Diuretics are used in the treatment of Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome)?

Which medications in the drug class Platelet Aggregation Inhibitors are used in the treatment of Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome)?

Which medications in the drug class Antiarrhythmic Agents are used in the treatment of Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome)?

Which medications in the drug class Low Molecular Weight Heparins are used in the treatment of Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome)?

Which medications in the drug class Anticoagulants are used in the treatment of Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome)?

Which medications in the drug class Analgesics are used in the treatment of Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome)?

Which medications in the drug class Antianginal Agents are used in the treatment of Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome)?

Which medications in the drug class Salicylates are used in the treatment of Takotsubo (Stress) Cardiomyopathy (Broken Heart Syndrome)?