Stress, emotion and the heart: tako-tsubo cardiomyopathy.
Tako-tsubo cardiomyopathy is a cardiac syndrome precipitated by profound emotional stress and anxiety, particularly in middle-aged women. It presents as a mimic of acute myocardial infarction, but coronary angiography shows normal coronary arteries and a characteristic left ventriculogram resembling an "octopus pot". The condition seems to have a favourable prognosis. Initially described in Japan, and with many names in the literature, it is being increasingly recognised in the West owing to early coronary angiography and primary coronary intervention, accounting for up to 1 in 30 primary cases of angioplasty in some institutions. A typical case is described, and the clinical features, pathophysiology and management reviewed.
Iqbal
M Bilal
MB
Department of Cardiology, The Heart Hospital, London, UK.
Moon
James C
JC
Guttmann
Oliver P
OP
Shanahan
Paul
P
Goadsby
Peter J
PJ
Holdright
Diana R
DR
D000368:Aged; D009202:Cardiomyopathies / Q000523:psychology*; D004562:Electrocardiography; D005260:Female; D020773:Headache Disorders / Q000523:psychology; D006801:Humans; D009038:Motion; D009203:Myocardial Infarction / Q000523:psychology*; D013315:Stress, Psychological / Q000150:complications*; D013577:Syndrome