syndrome de takotsubo pdf

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DéfinitionTakotsuboSyndrome(TTS)isaconditionoftransientleftventriculardysfunctionthatistypicallytriggeredbyemotionalorphysicalstressMoreover, theECGfindingsonadmissionoftenincludeSTelevationinprecordialleadsAbstractTakotsubosyndromeisanacutecardiacsyndromefirstdescribedinand characterizedbytransientleftventriculardysfunctionaffectingmorethanonecoronaryarteryTakotsubosyndrome(TS)wasoriginallydescribedinbySatoetal AlthoughTTSisararediseasewithaprevalenceofonly%to%inthegeneralpopulation,itisoftenmisdiagnosedasacutecoronarysyndromework,althoughin somecases,precipitantstressorshavenotbeenidentifiedandischaracterizedbyacuteandreversible(ResumenMaladiecardiaquerarecaractériséepar l'apparitiond'uneinsuffisancecardiaqueaiguëàlasuited'unchocémotionnelouAbstractANTECEDENTES:Elsíndromedetakotsubo,tambiénconocidocomo miocardiopatíaporestrés,esunacondicióndesencadenadaporfactoresemocionalesoTheoccurrenceoftakotsubosyndromeistimeshigherinwomen,whoare agedyearsold,thaninmen.Takotsubocardiomyopathy(TC)orsyndromewasfirstdescribedmorethanadesagobyDoteandcolleaguesinJapan,buthassince beenincreasinglyrecognisedaroundtheAbstractTakotsubosyndromeisanacutecardiacsyndromefirstdescribedinandcharacterizedbytransientleft ventriculardysfunctionaffectingmorethanonecoronaryTakotsubosyndrome(TS)wasoriginallydescribedinbySatoetalSincefirstdescribed CardiomyopathieTako-TsuboTakotsubosyndrome(TTS)isapoorlyrecognizedheartdiseasethatwasinitiallyregardedasabenignconditionThehospital mortalityamongpatientswithTScorrespondstoElsíndromedeTakotsubosedistingueporanginayelevacióndelSTquesimulainfartoagudodemiocardio (IAM)ysedistingueporausenciadeobstruccióncoronariaenfaseABSTRACT:TakotsuboSyndrome(TTS)isaconditionoftransientleftventricular dysfunctionthatistypicallytriggeredbyemotionalorphysicalstressThemostfrequentclinicalsymptomsoftakotsubocardiomyopathyonadmissionarechest painanddyspnea,resemblingacutemyocardialinfarction.SincefirstdescribedinJapanin,ithasincreasinglybeenrecognisedinclinicalpractice,accountingforup to2%ofAcuteCoronarySyndrome(ACS)presentationsTakotsubosyndrome(TTS),alsoknownasTakotsubocardiomyopathy,isatransientleftventricular walldysfunctionthatisoftentriggeredbyphysicaloremotionalstressorsandischaracterizedbyacuteandreversible(syndrome,ie,generallyabruptonsetof precordialpainanddyspnoeawithouttheevidenceofanobstructivecoronarydisease[1–3]Adiagnosticalgorithmfortakotsubosyndrome(TTS)isproposedby theexpertcommittee(Figure1)PatientspresentingwithST-segmentelevationshouldundergourgentcoronaryangiography(CAG)withleftventriculographyto excludeacutemyocardialinfarction(AMI)PMCID:PMCDOI:/eurheartj/ehyAbstract

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