Paraschiv Catalina, Paduraru Livia, Balanescu Serban
University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania.
Cardiology Department, Elias Emergency Univeristy Hospital, 011461 Bucharest, Romania.
Rev Cardiovasc Med. 2023 Oct 20;24(10):300. doi: 10.31083/j.rcm2410300. eCollection 2023 Oct.
Takotsubo Syndrome (TS) is an acute, reversible cardiac dysfunction, with complex, not entirely understood pathophysiology and heterogeneous clinical picture. Imaging methods each have a crucial role in the diagnosis, in-hospital management, short term and long term follow up. Coronary angiography needs to be performed, especially in the setting of a suspected acute coronary syndrome, in order to rule out coronary artery disease. Echocardiography plays a central role both in the acute and the chronic phase. It is the first imaging investigation performed in patients with TS, valuable to diagnose systolic dysfunction, the wall motion pattern and early complications. Cardiac magnetic resonance tissue characterization provides an essential role in the differential diagnosis of TS with other non-ischemic causes of systolic dysfunction. This review focuses on the imaging methods and the important part they play in the complex management of the disease.
应激性心肌病（TS）是一种急性、可逆性心脏功能障碍，其病理生理过程复杂，尚未完全明确，临床表现多样。影像学方法在诊断、住院治疗管理以及短期和长期随访中均发挥着关键作用。尤其在疑似急性冠状动脉综合征的情况下，需要进行冠状动脉造影以排除冠状动脉疾病。超声心动图在急性期和慢性期均起着核心作用。它是TS患者进行的第一项影像学检查，对于诊断收缩功能障碍、室壁运动模式及早期并发症具有重要价值。心脏磁共振组织特征分析在鉴别TS与其他非缺血性收缩功能障碍病因方面发挥着重要作用。本综述重点关注影像学方法及其在该疾病综合管理中所起的重要作用。
