A Comprehensive Literature Review of the Epidemiology, Diagnosis and Management of Takotsubo Cardiomyopathy Syndrome

Abstract

Takotsubos cardiomyopathy is reported at an increasing frequency. Though it considered a diagnosis of exclusion it remains a pathology requiring focused investigation and tailored management. Despite its prevalence most clinicians do not seem to have a good grasp on the diagnosis and the management of this condition. There have been a large number of publications reporting the various aspects of this condition. Though a noxious emotional event seems to be the most commonly associated trigger, there are a large number of additional triggers that have been described. There are widely accepted diagnostic criteria. Different investigational modalities have different yields in supporting or excluding the diagnosis. The clinical course and the prognosis too can have significant variety. As far as the management strategy is concerned there is no widely accepted pathways published as yet. Clinicians are guided by the clinical condition and the circumstances of the event to decide on the optimal management strategy. We have attempted in this detailed review to collate as much published material as possible to give the clinician reader a sound global insight into this important cardiac condition.

The Gap In Meeting The Educational And Support Needs Of Women With Takotsubo Syndrome Compared To Women With An Acute Coronary Syndrome

“…Whilst there are well-defined evidence-based strategies for managing ACS (Amsterdam et al 2014;Roffi et al 2015), this is not the case for TS (Omerovic, 2016). Patients presenting to a hospital emergency service with TS generally receive 'default' ACS management (Lyon et al 2016) followed by symptom-guided care in hospital once TS has been diagnosed (Jayasinghe & Khan, 2015). Support and information about TS during hospitalization and following hospital discharge is scant for women with TS.…”