Takotsubo cardiomyopathy

EBM Guidelines
Dec 2, 2021 • Latest change Nov 4, 2022
Juha Sinisalo

Table of contents

Extract

  • Initially, takotsubo cardiomyopathy resembles a myocardial infarction: there is chest pain and dyspnoea.
  • The symptoms usually begin after an episode of severe emotional or physical stress. In about 1 out of 4 patients, no clear triggering factor can be identified.
  • The patients are typically ≥ 60-year-old women.
  • They should be hospitalized.
  • Initial treatment should be given according to the guidelines for myocardial infarction because the two are difficult to distinguish.
  • Once the diagnosis of takotsubo cardiomyopathy has been confirmed, treatment is similar to that of cardiac failure.
  • Most patients recover completely within about a month but slightly less than 10% have complications, i.e. die or have a cerebral infarction.

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Broken heart, Broken heart syndrome, Cardiomyopathy, Chest pain, Heart attack, I21.90, Myocardial infarction, Stress cardiomyopathy, Tako tsubo, Takotsubo, Takotsubo cardiomyopathy