American Heart Journal
Volume 156, Issue 3 , Pages 543-548 , September 2008

Prevalence and characteristics of left ventricular outflow tract obstruction in Tako-Tsubo syndrome

  • Rami El Mahmoud, MD

      Affiliations

    • Pôle Radio-Cardio-Vasculaire, Université de Versailles-Saint Quentin (UVSQ), Hospital Ambroise Paré, Assistance Publique-Hôpitaux de Paris (AP-HP), Boulogne, France
    • Corresponding Author InformationReprint requests: Nicolas Mansencal, MD, AP-HP, Hôpital Universitaire Ambroise Paré, Service de Cardiologie et des Maladies Vasculaires, 9 avenue Charles de Gaulle, 92100 Boulogne, France.
  • ,
  • Nicolas Mansencal, MD

      Affiliations

    • Pôle Radio-Cardio-Vasculaire, Université de Versailles-Saint Quentin (UVSQ), Hospital Ambroise Paré, Assistance Publique-Hôpitaux de Paris (AP-HP), Boulogne, France
    • Centre Associé au Centre de Référence pour les Maladies Cardiaques Héréditaires, Boulogne, France
    • Corresponding Author InformationReprint requests: Nicolas Mansencal, MD, AP-HP, Hôpital Universitaire Ambroise Paré, Service de Cardiologie et des Maladies Vasculaires, 9 avenue Charles de Gaulle, 92100 Boulogne, France.
  • ,
  • Rémy Pilliére, MD

      Affiliations

    • Pôle Radio-Cardio-Vasculaire, Université de Versailles-Saint Quentin (UVSQ), Hospital Ambroise Paré, Assistance Publique-Hôpitaux de Paris (AP-HP), Boulogne, France
  • ,
  • François Leyer, MD

      Affiliations

    • Department of Cardiology, CHI de Le-Raincy-Montfermeil, Montfermeil, France
  • ,
  • Nacéra Abbou, MD

      Affiliations

    • Pôle Radio-Cardio-Vasculaire, Université de Versailles-Saint Quentin (UVSQ), Hospital Ambroise Paré, Assistance Publique-Hôpitaux de Paris (AP-HP), Boulogne, France
  • ,
  • Pierre Michaud, MD

      Affiliations

    • Department of Cardiology, CHI de Le-Raincy-Montfermeil, Montfermeil, France
  • ,
  • Olivier Nallet, MD

      Affiliations

    • Department of Cardiology, CHI de Le-Raincy-Montfermeil, Montfermeil, France
  • ,
  • Franck Digne, MD

      Affiliations

    • Pôle Radio-Cardio-Vasculaire, Université de Versailles-Saint Quentin (UVSQ), Hospital Ambroise Paré, Assistance Publique-Hôpitaux de Paris (AP-HP), Boulogne, France
  • ,
  • Pascal Lacombe, MD

      Affiliations

    • Pôle Radio-Cardio-Vasculaire, Université de Versailles-Saint Quentin (UVSQ), Hospital Ambroise Paré, Assistance Publique-Hôpitaux de Paris (AP-HP), Boulogne, France
  • ,
  • Simon Cattan, MD

      Affiliations

    • Department of Cardiology, CHI de Le-Raincy-Montfermeil, Montfermeil, France
  • ,
  • Olivier Dubourg, MD, FACC, FESC

      Affiliations

    • Pôle Radio-Cardio-Vasculaire, Université de Versailles-Saint Quentin (UVSQ), Hospital Ambroise Paré, Assistance Publique-Hôpitaux de Paris (AP-HP), Boulogne, France
    • Centre Associé au Centre de Référence pour les Maladies Cardiaques Héréditaires, Boulogne, France

Received 3 January 2008 ,Accepted 6 May 2008.

References 

  1. Elliott P, Andersson B, Arbustini E, et al. Classification of the cardiomyopathies: a position statement from the European society of cardiology working group on myocardial and pericardial diseases. Eur Heart J. 2008;29:270–276
  2. Pilliere R, Mansencal N, Digne F, et al. Prevalence of tako-tsubo syndrome in a large urban agglomeration. Am J Cardiol. 2006;98:662–665
  3. Sharkey SW, Lesser JR, Zenovich AG, et al. Acute and reversible cardiomyopathy provoked by stress in women from the United States. Circulation. 2005;111:472–479
  4. Wittstein IS, Thiemann DR, Lima JA, et al. Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med. 2005;352:539–548
  5. Tsuchihashi K, Ueshima K, Uchida T, et al. Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction. Angina Pectoris-Myocardial Infarction Investigations in Japan. J Am Coll Cardiol. 2001;38:11–18
  6. Haley JH, Sinak LJ, Tajik AJ, et al. Dynamic left ventricular outflow tract obstruction in acute coronary syndromes: an important cause of new systolic murmur and cardiogenic shock. Mayo Clin Proc. 1999;74:901–906
  7. Penas-Lado M, Barriales-Villa R, Goicolea J. Transient left ventricular apical ballooning and outflow tract obstruction. J Am Coll Cardiol. 2003;42:1143–1144
  8. Chockalingam A, Tejwani L, Aggarwal K, et al. Dynamic left ventricular outflow tract obstruction in acute myocardial infarction with shock: cause, effect, and coincidence. Circulation. 2007;116:e110–e113
  9. Kurisu S, Inoue I, Kawagoe T, et al. Pressure tracings in obstructive Tako-Tsubo cardiomyopathy. Eur J Heart Fail. 2007;9:317–319
  10. Desmet W. Dynamic LV obstruction in apical ballooning syndrome: the chicken or the egg. Eur J Echocardiogr. 2006;7:1–4
  11. Merli E, Sutcliffe S, Gori M, et al. Tako-Tsubo cardiomyopathy: new insights into the possible underlying pathophysiology. Eur J Echocardiogr. 2006;7:53–61
  12. Braunwald E, Antman EM, Beasley JW, et al. ACC/AHA guideline update for the management of patients with unstable angina and non–ST-segment elevation myocardial infarction—2002: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Unstable Angina). Circulation. 2002;106:1893–1900
  13. Prasad A, Lerman A, Rihal CS. Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J. 2008;155:408–417
  14. Lever HM, Karam RF, Currie PJ, et al. Hypertrophic cardiomyopathy in the elderly. Distinctions from the young based on cardiac shape. Circulation. 1989;79:580–589
  15. Bonow RO, Carabello BA, Chatterjee K, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing Committee to Revise the 1998 guidelines for the management of patients with valvular heart disease) developed in collaboration with the Society of Cardiovascular Anesthesiologists endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. J Am Coll Cardiol. 2006;48:e1–e148
  16. Hurst RT, Askew JW, Reuss CS, et al. Transient midventricular ballooning syndrome: a new variant. J Am Coll Cardiol. 2006;48:579–583
  17. Desmet WJ, Adriaenssens BF, Dens JA. Apical ballooning of the left ventricle: first series in white patients. Heart. 2003;89:1027–1031
  18. Abe Y, Kondo M, Matsuoka R, et al. Assessment of clinical features in transient left ventricular apical ballooning. J Am Coll Cardiol. 2003;41:737–742
  19. Bybee KA, Kara T, Prasad A, et al. Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med. 2004;141:858–865
  20. Kurisu S, Sato H, Kawagoe T, et al. Tako-tsubo–like left ventricular dysfunction with ST-segment elevation: a novel cardiac syndrome mimicking acute myocardial infarction. Am Heart J. 2002;143:448–455
  21. Gianni M, Dentali F, Grandi AM, et al. Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review. Eur Heart J. 2006;27:1523–1529
  22. Charron P, Dubourg O, Desnos M, et al. Diagnostic value of electrocardiography and echocardiography for familial hypertrophic cardiomyopathy in a genotyped adult population. Circulation. 1997;96:214–219
  23. Maron MS, Olivotto I, Zenovich AG, et al. Hypertrophic cardiomyopathy is predominantly a disease of left ventricular outflow tract obstruction. Circulation. 2006;114:2232–2239
  24. Forissier JF, Charron P, Tezenas du Montcel S, et al. Diagnostic accuracy of a 2D left ventricle hypertrophy score for familial hypertrophic cardiomyopathy. Eur Heart J. 2005;26:1882–1886
  25. Villareal RP, Achari A, Wilansky S, et al. Anteroapical stunning and left ventricular outflow tract obstruction. Mayo Clin Proc. 2001;76:79–83

d Drs El Mahmoud and Mansencal contributed equally to this work.

PII: S0002-8703(08)00369-4

doi: 10.1016/j.ahj.2008.05.002

American Heart Journal
Volume 156, Issue 3 , Pages 543-548 , September 2008