Distinguishing a Heart Attack From the "Broken Heart Syndrome" (Takotsubo Cardiomyopathy)

Nussinovitch, Udi; Goitein, Orly; Nussinovitch, Naomi; Altman, Arie

doi:10.1097/jcn.0b013e31820e2a90

Cited by 4 publications

(2 citation statements)

References 36 publications

(90 reference statements)

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“…Notes 1 There exists a condition known as broken heart syndrome, which is considered a stressinduced cardiomyopathy primarily featured in the left ventricle of the heart and mediated by an excess in circulating catecholamines (Nussinovitch, Goitein, Nussinovitch, & Altman, 2011;Peters, George, & Irimpen, 2015;Ueyama, 2004). However, this stress-induced form of transient systolic dysfunction can also be induced by positive emotional events (Ghadri et al, 2016), and there is no evidence to suggest its equivalence to social pain in terms of aetiology, prevalence, or sequelae.…”

Section: Chaptermentioning

confidence: 99%

Moralization as legitimization for ostracism

Täuber¹

2019

Current Directions in Ostracism, Social Exclusion, and Rejection Research

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This edited volume provides an up-to-date review of current research on ostracism, social exclusion, and rejection. The book shows why exclusion and rejection occur, how they affect the excluded individuals, and the consequences they might have for individuals and organizations. Ostracism, social exclusion, and rejection are common phenomena, both at the individual level, such as ostracism in the classroom or at the workplace, as well as on a societal or even global scale, such as immigration or asylum policies. Examining key concepts such as the long-term effects of ostracism, the developmental and cultural perspectives on ostracism, and the detrimental impact that social exclusion may have on individuals and societies, the authors provide an up-to-date overview of the research field and present new conceptual models and methodological approaches. Featuring discussion of promising areas, novel pathways for research, and cutting-edge developments, this is the most comprehensive bringing-together of research on this topic. The book gives both a broad state-of-the-art overview of the field as well as discussing cutting-edge ideas and promising areas for future research; it is essential for students, researchers of social psychology, and policy makers interested in this field.

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Section: Chaptermentioning

confidence: 99%

Moralization as legitimization for ostracism

Täuber¹

2019

Current Directions in Ostracism, Social Exclusion, and Rejection Research

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“…27 Others suggested changing the second criterion to a nonobstructive coronary disease of less than 50% stenosis. 28 Because the pathophysiology is unclear and major prospective randomized controlled trials are absent, optimal treatment for Takotsubo has yet to be established. Therefore, at present, treatment is mainly symptomatic and supportive.…”

Section: Articlementioning

confidence: 99%

Takotsubo cardiomyopathy: diagnosis in an emergency department

Mancini

Bartolini

Zanna³

2014

Emerg Care J

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Takotsubo cardiomyopathy (TC) is a reversible cardiomyopathy characterized by transient wall-motion abnormalities of the left ventricle (LV) in the absence of significant obstructive coronary disease. In emergency departments the diagnosis remains a challenge because clinical and electrocardiographic presentation of Takotsubo is quite similar to ST-segment elevation myocardial infarction. We conducted a retrospective descriptive study on 1654 patients admitted to our emergency department from 2006 to 2009 who had a left heart catheterization for a suspected acute coronary syndrome and among them we evaluated characteristics on admission of 14 patients with a clinical picture suggestive for a TC. All patients were postmenopausal female. Ten patients (71%) had preceding stressful events and four patients (29%) did not have identifiable stressors. Thirteen patients (93%) presented chest pain and one (7%) syncope. ST-segment elevation was present in six patients (43%). One patient (7%) presented an episode of ventricular fibrillation. All patients presented increased cardiac Troponin T. Initial LV ejection fraction, evaluated by transthoracic echocardiography was 44±10%. Follow-up LV ejection fraction was 61±10%. Six patients (43%) had characteristic apical ballooning and eight patients (57%) had hypokinesia or akinesia of the apical or/and midventricular region of the LV without ballooning. Coronary angiography was normal in nine patients (64%) and five (36%) had stenosis <50%. None had complete obstruction of a coronary. Takotsubo syndrome should be considered as a possible diagnosis in patients admitted in an emergency department with a suspected diagnosis of acute coronary syndrome. Emergency physicians should recognize salient aspects of the medical history at presentation in order to organize appropriate investigations and avoid inappropriate therapies.

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