Myocardial Disease - Takotsubo Cardiomyopathy

Question 1

What is Takotsubu Cardiomyopathy?

Answer 1

A type of non-ischaemic cardiomyopathy, associated with a transient apical ballooning of the myocardium (octopus-trap in Japanese).

Question 2

Aetiology of Takotsubu Cardiomyopathy.

Answer 2

Stress.

Question 3

Pathophysiology of Takotsubo Cardiomyopathy.

Answer 3

Apical Ballooning :

1. Severe Hypokinesis of Mid and Apical Segments & Preservation of Activity of Basal Segments.
2. Apex (Bottom) of Heart does not contract - the base (top) continues to contract.

Question 4

Clinical Presentation of Takotsubo Cardiomyopathy.

Answer 4

1. Chest Pain.

2. Features of Heart Failure.

Question 5

ECG Finding of Takotsubo Cardiomyopathy.

Answer 5

ST Elevation.

Question 6

Management of Takotsubo Cardiomyopathy.

Answer 6

Supportive.