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Vol. 155. Issue 8.
Pages 347-355 (October 2020)
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Vol. 155. Issue 8.
Pages 347-355 (October 2020)
Review
DOI: 10.1016/j.medcle.2020.04.024
Takotsubo syndrome
Síndrome de Takotsubo
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Álvaro Aparisia, Aitor Uribarria,b,
Corresponding author
auribarrig@gmail.com

Corresponding author.
a Departamento de Cardiología, Hospital Clínico Universitario, Valladolid, Spain
b Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, Madrid, Spain
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Table 1. Diagnostic criteria for Takotsubo syndrome.
Abstract

Takotsubo syndrome is an acute cardiomyopathy that mimics acute coronary syndrome and is characterized by acute heart failure with reversible ventricular motion abnormalities, in the absence of justifying coronary artery disease. This document offers an exhaustive review of various proposed hypotheses that attempt to explain the pathophysiology of this disease and provides an updated review of the different classifications that have emerged in recent years. In addition, we describe the main clinical characteristics of these patients, the diagnostic tests that must be performed and the most appropriate treatment.

Keywords:
Catecholamine
Heart failure
Takotsubo syndrome
Broken heart syndrome
Resumen

El síndrome de Takotsubo es una miocardiopatía aguda con una clínica similar a la protagonizada por un síndrome coronario agudo, y que se caracteriza por insuficiencia cardiaca aguda y alteraciones reversibles de función ventricular, en ausencia de enfermedad coronaria que las justifique. Este documento ofrece una revisión exhaustiva de las diversas hipótesis propuestas que intentan explicar la fisiopatología de esta enfermedad, y proporciona una revisión actualizada de las distintas clasificaciones surgidas en los últimos años. Además, describimos las principales características clínicas que estos pacientes presentan, las pruebas diagnósticas que se deben realizar y el tratamiento más adecuado para su manejo.

Palabras clave:
Catecolaminas
Insuficiencia cardíaca
Síndrome de Takotsubo
Síndrome del corazón roto

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