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EKG bei Patienten mit Tako-Tsubo-Kardiomyopathie

ECG in patients with tako tsubo cardiomyopathy

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Zusammenfassung

Die Tako-Tsubo-Kardiomyopathie, auch transiente stressinduzierte Kardiomyopathie genannt, ist ein in den letzten Jahren immer häufiger diagnostiziertes Krankheitsbild, welche das Bild eines akuten Myokardinfarkts bieten kann. Dies trifft in der akuten Phase neben der Symptomatik v. a. auf infarkttypische EKG-Veränderungen zu. Anhand der regionalen Wandbewegungsstörungen lassen sich v. a. 2 unterschiedliche Typen der Tako-Tsubo-Kardiomyopathie unterscheiden: der klassische Typ mit apikalen Wandbewegungsstörungen und ein Typ mit midventrikulären Wandbewegungsstörungen. Beide Typen unterscheiden sich u. a. auch hinsichtlich des initialen EKG-Befundes. Klassische elektrokardiographische Befunde der akuten und subakuten Phase der Tako-Tsubo-Kardiomyopathie sollen in diesem Beitrag näher erläutert werden.

Abstract

Takotsubo cardiomyopathy, also known as transient left ventricular ballooning and stress myocardiopathy, has been diagnosed increasingly more over the last decade. The takotsubo syndrome mimics acute myocardial infarction in symptoms and in electrocardiographic findings. There are two major types of takotsubo cardiomyopathy: the classical type with left ventricular apical ballooning and a type with midventricular ballooning. Both types show different electrocardiographic patterns at presentation. The present article describes classical electrocardiographic findings of the acute and subacute phases of takotsubo cardiomyopathy.

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Authors and Affiliations

  1. Klinik für Innere Medizin III, Kardiologie, Angiologie, Intensivmedizin, Abteilung für Elektrophysiologie und Rhythmologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Schittenhelmstr. 12, 24105, Kiel, Deutschland

    Hendrik Bonnemeier

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Correspondence to Hendrik Bonnemeier.

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Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Bonnemeier, H. EKG bei Patienten mit Tako-Tsubo-Kardiomyopathie. Herzschr Elektrophys 26, 242–246 (2015). https://doi.org/10.1007/s00399-015-0382-6

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  • DOI: https://doi.org/10.1007/s00399-015-0382-6

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