Takotsubo Syndrome-Is There a Need for CMR?
Apical ballooning syndrome
Broken heart syndrome
CMR
Cardiac magnetic resonance imaging
MRI
Stress cardiomyopathy
Takotsubo cardiomyopathy
Takotsubo syndrome
Journal
Current heart failure reports
ISSN: 1546-9549
Titre abrégé: Curr Heart Fail Rep
Pays: United States
ID NLM: 101196487
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
accepted:
19
05
2021
pubmed:
21
6
2021
medline:
9
11
2021
entrez:
20
6
2021
Statut:
ppublish
Résumé
Takotsubo syndrome (TTS) is a transient but severe myocardial dysfunction that has been known for decades and is still to be fully understood regarding its clinical presentations and pathophysiological mechanisms. Cardiac magnetic resonance (CMR) imaging plays a key role in the comprehensive analysis of patients with TTS in acute and follow-up examinations. In this review, we focus on the major advantages and latest evolutions of CMR in diagnosis and prognostication of TTS and discuss future perspectives and needs in the field of research and cardiovascular imaging in TTS. Specific CMR criteria for TTS diagnosis at the time of acute presentation are established. In addition to identifying the typical regional wall motion abnormalities, CMR allows for precise quantification of right ventricular and left ventricular (LV) function, the assessment of additional abnormalities/complications (e.g. pericardial and/or pleural effusion, LV thrombi), and most importantly myocardial tissue characterization (myocardial oedema, inflammation, necrosis/fibrosis). CMR enables a comprehensive assessment of the entire spectrum of functional and structural changes that occur in patients with TTS and may have also a prognostic impact. CMR can distinguish between TTS and other important differential diagnoses (myocarditis, myocardial infarction) with direct consequences on medical therapy.
Identifiants
pubmed: 34148183
doi: 10.1007/s11897-021-00518-x
pii: 10.1007/s11897-021-00518-x
pmc: PMC8214719
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
200-210Informations de copyright
© 2021. The Author(s).
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