Current Concepts in the Pathogenesis of Takotsubo Syndrome

被引:20
|
作者
Williams, Rupert [1 ]
Arri, Satpal [2 ]
Prasad, Abhiram [1 ]
机构
[1] St Georges Univ London, Cardiovasc & Cell Sci Res Inst, Cranmer Terrace, London SW17 0RE, England
[2] Kings Coll London, St Thomas Hosp, Rayne Inst, Div Cardiovasc, Westminster Bridge Rd, London SE1 7EH, England
关键词
Takotsubo syndrome; Apical ballooning syndrome; Catecholamine; Pathophysiology; TAKO-TSUBO CARDIOMYOPATHY; APICAL BALLOONING SYNDROME; LEFT-VENTRICULAR DYSFUNCTION; ACUTE MYOCARDIAL-INFARCTION; STRESS-INDUCED CARDIOMYOPATHY; ST-SEGMENT ELEVATION; EMOTIONAL-STRESS; CORONARY MICROCIRCULATION; INTRAVASCULAR ULTRASOUND; CARDIOVASCULAR-RESPONSES;
D O I
10.1016/j.hfc.2016.06.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Takotsubo syndrome is typically characterized by acute reversible impairment of apical and mid-left ventricular systolic function. The pathophysiology is complex and remains to be completely understood. A catecholamine surge appears to be a central feature. Patients with prior history of psychiatric disorders have a predisposition. The putative role of a switch in b-adrenoceptor signalling resulting in negative inotropy remains uncertain. Downregulation of noncritical cellular functions may offer some protection in preventing irreversible cellular necrosis. Microvascular function is a common occurrence in these patients.
引用
收藏
页码:473 / +
页数:13
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