“Nipple” and “hawk's beak” appearances on contrast left ventricular angiography in Takotsubo syndrome: What's in a sign?

Madias, John E.

doi:10.1016/j.ijcard.2014.03.053

Cited by 4 publications

(1 citation statement)

References 14 publications

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“…Similarly, in patients with the mid-ventricular variant, systolic contraction of the apex can configure the hawk’s beak appearance by ventriculography (Fig. 3 ) [ 24 , 25 ]. In addition, the LV chamber silhouette depicted by the right anterior oblique view may show the typical apical ballooning or one of the variant morphologic patterns, which are suggestive of TTS diagnosis (Fig.…”

Section: Cardiac Catheterization: Coronary Angiography and Left Ventrmentioning

confidence: 99%

Multimodality imaging in takotsubo syndrome: a joint consensus document of the European Association of Cardiovascular Imaging (EACVI) and the Japanese Society of Echocardiography (JSE)

et al. 2020

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Takotsubo syndrome (TTS) is a complex and still poorly recognized heart disease with a wide spectrum of possible clinical presentations. Despite its reversibility, it is associated with serious adverse in-hospital events and high complication rates during follow-up. Multimodality imaging is helpful for establishing the diagnosis, guiding therapy, and stratifying prognosis of TTS patients in both the acute and post-acute phase. Echocardiography plays a key role, particularly in the acute care setting, allowing for the assessment of left ventricular (LV) systolic and diastolic function and the identification of the typical apical-midventricular ballooning pattern, as well as the circumferential pattern of wall motion abnormalities. It is also useful in the early detection of complications (i.e. LV outflow tract obstruction, mitral regurgitation, right ventricular involvement, LV thrombi, and pericardial effusion) and monitoring of systolic function recovery. Left ventriculography allows the evaluation of LV function and morphology, identifying the typical TTS patterns when echocardiography is not available or wall motion abnormalities cannot be properly assessed with ultrasound. Cardiac magnetic resonance provides a more comprehensive depiction of cardiac morphology and function and tissue characterization and offers additional value to other imaging modalities for differential diagnosis (myocardial infarction and myocarditis). Coronary computed tomography angiography has a substantial role in the diagnostic workup of patients with acute chest pain and a doubtful TTS diagnosis to rule out other medical conditions. It can be considered as a non-invasive appropriate alternative to coronary angiography in several clinical scenarios. Although the role of nuclear imaging in TTS has not yet been well established, the combination of perfusion and metabolic imaging may provide useful information on myocardial function in both the acute and post-acutephase.

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Section: Cardiac Catheterization: Coronary Angiography and Left Ventrmentioning

confidence: 99%

Multimodality imaging in takotsubo syndrome: a joint consensus document of the European Association of Cardiovascular Imaging (EACVI) and the Japanese Society of Echocardiography (JSE)

et al. 2020

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Stepwise approach for diagnosis and management of Takotsubo syndrome with cardiac imaging tools

et al. 2022

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Update of Takotsubo cardiomyopathy: Present experience and outlook for the future

Bairashevskaia

Belogubova

Kondratiuk

et al. 2022

IJC Heart & Vasculature

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“Nipple” and “hawk's beak” appearances on contrast left ventricular angiography in Takotsubo syndrome: What's in a sign?

Cited by 4 publications

References 14 publications

Multimodality imaging in takotsubo syndrome: a joint consensus document of the European Association of Cardiovascular Imaging (EACVI) and the Japanese Society of Echocardiography (JSE)

Multimodality imaging in takotsubo syndrome: a joint consensus document of the European Association of Cardiovascular Imaging (EACVI) and the Japanese Society of Echocardiography (JSE)

Stepwise approach for diagnosis and management of Takotsubo syndrome with cardiac imaging tools

Update of Takotsubo cardiomyopathy: Present experience and outlook for the future

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