Takotsubo cardiomyopathy Flashcards
1
Q
Cause?
A
Thought to be triggered by stress
2
Q
Pathophysiology?
A
The apical ballooning appearance occurs due to severe hypokinesis of the mid and apical segments with preservation of activity of the basal segments. In simple terms, the bottom of the heart (the apex) does not contract and therefore appears to balloon out. However, the area closer to the top (the base) continues to contract (creating the neck of the octopus trap)
3
Q
What does Takotsubo mean?
A
Japanese word for octopus trap
4
Q
Features?
A
- chest pain
* features of heart failure
5
Q
What would be seen on ECG?
A
ST elevation
6
Q
What would be seen on a coronary angiogram?
A
Normal
7
Q
Treatment?
A
Supportive and this will help the majority of patients
