Stress cardiomyopathy

Question 1

Stress cardiomyopathy is also known as

Answer 1

takotsubo cardiomyopathy

ischemic chest pain with EKG changes in the absence of obstructive coronary artery disease

Question 2

what causes stress cardiomyopathy?

Answer 2

Caused by excessive catecholamine stimulation, causing myocardial stunning and microcirculatory dysfunction and multivessel coronary artery spasm.

seen in post menopausal women after an intense, stressful, emotional or physical situation

Question 3

Treatment of stress cardiomyopathy

Answer 3

IVF, treatment of complications and clinical monitoring

some physicians recommend BB indefinitely

Question 4

prognosis of stress cardiomyopathy

Answer 4

most recover ventricular function within 8-12 weeks

Question 5

EKG TTE findings of stress cardiomyopathy:

Answer 5

ST seg elevation in anterior leads (50% of pts)
Deep T wave inversions, Q waves, prolonged QT in some pts
mildly elevated troponin
TTE with LV apical ballooning with akineses or dyskinesis and decreased EF and basal hyperkinesis

Coronary angiography with LV apical ballooning but normal coronary anatomy