Hassan A. Mohamed
Department of Medicine, Division of Cardiology, Regina General Hospital, Regina, SK, Canada
Libyan J Med AOP: 070707 (published 19 July 2007)
Tako-tsubo cardiomyopathy (transient left ventricular apical ballooning) is a reversible form of cardiomyopathy of unknown etiology. Tako-tsubo Cardiomyopathy (TTC) is typically precipitated by sudden emotional or physical stress, and is associated with excessive sympathetic stimulation and catecholamine release. Its clinical presentation is similar to that of acute coronary syndrome. The diagnosis of TTC must be considered in all patients who develop a transient left ventricular apical (or mid ventricular) ballooning in the absence of obstructive coronary artery disease. Although the prevalence of TTC remains unknown, approximately 2% of all patients presenting with a presumed diagnosis of acute myocardial infarction have been found to have this syndrome. An illustrative case report and literature review is provided.
Keywords: Tako-tsubo cardiomyopathy; stress cardiomyopathy; left ventricular apical ballooning; cardiomyopathy.