Current state of knowledge on Takotsubo syndrome: a position statement from the task force on Takotsubo syndrome of the Heart Failure Association of the European Society of Cardiology

被引：901

作者：

Lyon, Alexander R. ^{[1
,2
]}

Bossone, Eduardo ^{[3
]}

Schneider, Birke ^{[4
]}

Sechtem, Udo ^{[5
]}

Citro, Rodolfo ^{[6
]}

Underwood, S. Richard ^{[1
,2
]}

Sheppard, Mary N. ^{[7
]}

Figtree, Gemma A. ^{[8
,9
]}

Parodi, Guido ^{[10
]}

Akashi, Yoshihiro J. ^{[11
]}

Ruschitzka, Frank ^{[12
]}

Filippatos, Gerasimos ^{[13
]}

Mebazaa, Alexandre ^{[14
]}

Omerovic, Elmir ^{[15
]}

机构：

[1] Univ London Imperial Coll Sci Technol & Med, Natl Heart & Lung Inst, London, England

[2] Royal Brompton Hosp, NIHR Cardiovasc Biomed Res Unit, Sydney St, London SW3 6NP, England

[3] Univ Salerno, Cava Tirreni & Amalfi Coast Hosp, Div Cardiol, Heart Dept, Salerno, Italy

[4] Sana Klin Lubeck, Med Klin 2, Lubeck, Germany

[5] Robert Bosch Krankenhaus, Dept Cardiol, Stuttgart, Germany

[6] Univ Hosp San Giovanni Dio & Ruggi dAragona, Heart Dept, Salerno, Italy

[7] St Georges Univ Med Sch, Dept Cardiovasc Pathol, London, England

[8] Univ Sydney, Kolling Inst, North Shore Heart Res, Sydney, NSW 2006, Australia

[9] Royal N Shore Hosp, Dept Cardiol, Sydney, NSW, Australia

[10] Careggi Hosp, Invas Cardiol, Florence, Italy

[11] St Marianna Univ, Sch Med, Dept Internal Med, Div Cardiol, Kawasaki, Kanagawa, Japan

[12] Univ Zurich Hosp, Clin Cardiol, CH-8091 Zurich, Switzerland

[13] Univ Athens, Sch Med, Attikon Univ Hosp, Dept Cardiol, GR-11527 Athens, Greece

[14] Univ Paris Diderot, Inserm U942, Hop Univ St Louis Lariboisiere, Dept Anesthesiol Reanimat, Paris, France

[15] Univ Gothenburg, Sahlgrenska Acad, Dept Mol & Clin Med Cardiol, Gothenburg, Sweden

来源：

EUROPEAN JOURNAL OF HEART FAILURE | 2016年 / 18卷 / 01期

关键词：

Takotsubo syndrome; stress; heart failure; risk stratification; APICAL BALLOONING SYNDROME; TAKO-TSUBO CARDIOMYOPATHY; CARDIOVASCULAR MAGNETIC-RESONANCE; LEFT-VENTRICULAR DYSFUNCTION; STRESS-INDUCED CARDIOMYOPATHY; CORONARY-ARTERY STENOSIS; EXTRACORPOREAL LIFE-SUPPORT; ACUTE MYOCARDIAL-INFARCTION; LATE GADOLINIUM ENHANCEMENT; IN-HOSPITAL MORTALITY;

D O I：

10.1002/ejhf.424

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Takotsubo syndrome is an acute reversible heart failure syndrome that is increasingly recognized in modern cardiology practice. This Position Statement from the European Society of Cardiology Heart Failure Association provides a comprehensive review of the various clinical and pathophysiological facets of Takotsubo syndrome, including nomenclature, definition, and diagnosis, primary and secondary clinical subtypes, anatomical variants, triggers, epidemiology, pathophysiology, clinical presentation, complications, prognosis, clinical investigations, and treatment approaches. Novel structured approaches to diagnosis, risk stratification, and management are presented, with new algorithms to aid decision-making by practising clinicians. These also cover more complex areas (e.g. uncertain diagnosis and delayed presentation) and the management of complex cases with ongoing symptoms after recovery, recurrent episodes, or spontaneous presentation. The unmet needs and future directions for research in this syndrome are also discussed.

引用

页码：8 / 27

页数：20

共 138 条

[11]

In-hospital mortality among patients with takotsubo cardiomyopathy: A study of the National Inpatient Sample 2008 to 2009 [J].