Tako-Tsubo-Kardiomyopathie

Abstract

Tako-Tsubo cardiomyopathy (TK) is an acutely appearing myocardial disease leading to impaired cardiac function, which can barely be distinguished clinically from an acute myocardial infarction. It occurs mainly in postmenopausal women and usually has a good prognosis. The pathophysiology of TK still remains to be elucidated but the favoured hypothesis is myocardial damage induced by catecholamine excess. Various acute diseases, emotional stress, surgical procedures and anaesthesia have been described as possible causes for TK. Little is known about the optimal therapy, however, there might be potential differences in the therapy of TK compared to contemporary therapy algorithms for heart failure. Knowledge of TK as a differential diagnosis for acute myocardial infarction is necessary to avoid incorrect treatment.

Prognostische Relevanz Magnetresonanztomographie-Feature-Tracking-basierter myokardialer Mechanik bei Patienten mit Takotsubo-Kardiomyopathie

“…Abbildung 1: Morphologie der Takotsubo-Kardiomyopathie links: Zeichnung einer japanischen Tintenfischfalle (Roggenbach et al 2010); rechts: Lävekardiographie eines linken Ventrikels mit typischem apikalem Ballooning in der Endsystole (Scantlebury und Prasad 2014) (mit freundlicher Genehmigung der Autoren).…”