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Two cases of tako-tsubo cardiomyopathy in Caucasians
Pasquale Assennato1, Rosa Alfano, Giuseppina Novo
1Department of Cardiology, University of Palermo, Palermo, Italy.
Insights
Tako-tsubo cardiomyopathy, a condition causing chest pain and temporary heart muscle dysfunction, presents with unique apical ballooning. This report details two European cases of this rare cardiac syndrome.
Area of Science:
- Cardiology
- Cardiovascular Medicine
Background:
- Tako-tsubo cardiomyopathy is a distinct clinical entity characterized by transient left ventricular dysfunction.
- First described in Japan in 1990, it is named after the Japanese octopus trap (tako-tsubo) due to the characteristic apical ballooning.
- European literature on this condition remains limited.
Observation:
- Patients present with symptoms similar to myocardial infarction, including chest pain.
- Electrocardiographic changes are specific to the condition.
- Left ventriculography reveals a characteristic 'apical ballooning' pattern.
Findings:
- The study presents two cases of Tako-tsubo cardiomyopathy observed in a European setting.
- These cases contribute to the limited European data on this syndrome.
- The findings highlight the occurrence of Tako-tsubo cardiomyopathy outside of its initial description in Japan.
Implications:
- Increased awareness and recognition of Tako-tsubo cardiomyopathy in European populations are necessary.
- Further research is warranted to understand the pathophysiology and long-term prognosis of this syndrome.
- Accurate diagnosis can prevent unnecessary invasive procedures for conditions mimicking myocardial infarction.
Abstract:
Tako-tsubo cardiomyopathy is a recently described disease characterized by chest pain, transient left ventricular dysfunction and specific electrocardiographic changes. The disease takes its name from the typical left apical ballooning observed at left ventriculogram. Tako-tsubo cardiomyopathy was first described by Sato in 1990. Since then sporadic cases were reported by Japanese authors, and only a few European publications are available. We describe 2 cases of patients affected by this syndrome.
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