[What is the risk of Takotsubo in women?]

Takotsubo cardiomyopathy preferentially affects postmenopausal women (# 90%). Takotsubo cardiomyopathy mimics an acute coronary syndrome and is defined as a transient left ventricular systolic dysfunction. Diagnosis is based on the criteria of the Mayo Clinic. Stress is found in around 80% of cases: physical stress, emotional stress, medical stress. Physical stress is less found in women. Incidence of Takotsubo cardiomyopathy is 54.9/1,000,000 inhabitants in women versus only 3.6/1,000,000 inhabitants in men. Diagnosis is based on electrocardiogram, biomarkers, echocardiography, coronary angiography and left ventricular angiography, and cardiac magnetic imaging. The complete recovery of left ventricular systolic function must be assessed, allowing to confirm the diagnosis of Takotsubo cardiomyopathy.