Does this patient have takotsubo syndrome?
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Some medical descriptions have a certain appealing resonance and takotsubo is one of them. The fascinating initial description, related to earthquake stress victims, is now classical and early Japanese pioneers deserve credit for stimulating interest and research into stress-related cardiomyopathy . The expansion of echocardiography into critical care medicine has resulted in a blossoming of publications in the field . Numerous terms have been used for cardiac abnormalities caused by stressful events, both emotional and physical; however, “takotsubo syndrome” (TTS) has become a useful overarching term, the word syndrome preferred to cardiomyopathy as there is usually no primary cardiac muscle disorder . Multiple pathophysiological processes are implicated in the etiology of the syndrome. Myocardial contraction band necrosis, a feature of catecholamine toxicity in the presence of pheochromocytoma or cocaine cardiomyopathy, is not a consistent finding in TTS. Current theories...
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