Aparisi Álvaro, Uribarri Aitor
Departamento de Cardiología, Hospital Clínico Universitario, Valladolid, España.
Departamento de Cardiología, Hospital Clínico Universitario, Valladolid, España; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, España.
Med Clin (Barc). 2020 Oct 23;155(8):347-355. doi: 10.1016/j.medcli.2020.04.023. Epub 2020 Jul 9.
Takotsubo syndrome is an acute cardiomyopathy that mimics acute coronary syndrome and is characterized by acute heart failure with reversible ventricular motion abnormalities, in the absence of justifying coronary artery disease. This document offers an exhaustive review of various proposed hypotheses that attempt to explain the pathophysiology of this disease and provides an updated review of the different classifications that have emerged in recent years. In addition, we describe the main clinical characteristics of these patients, the diagnostic tests that must be performed and the most appropriate treatment.
应激性心肌病是一种急性心肌病,它模仿急性冠状动脉综合征,其特征是在没有合理冠状动脉疾病的情况下,出现伴有可逆性心室运动异常的急性心力衰竭。本文对试图解释该疾病病理生理学的各种假设进行了详尽综述,并对近年来出现的不同分类进行了更新综述。此外,我们描述了这些患者的主要临床特征、必须进行的诊断测试以及最合适的治疗方法。