Review Article
Year: 2020 | Month: October | Volume: 7 | Issue: 10 | Pages: 27-32
Diagnosing Takotsubo Cardiomyopathy without Coronary Angiography
Dian Daniella1, Marco Rahardja2, Marianto3
1Faculty of Medicine, Atma Jaya Catholic University, Indonesia
2Faculty of Medicine, Kristen Krida Wacana University, Indonesia
3Faculty of Medicine, Sumatera Utara University, Indonesia
Corresponding Author: Dian Daniella
ABSTRACT
Takotsubo cardiomyopathy (TC) is an acute but rapidly reversible heart failure syndrome. Coronary angiography is still the first-line diagnostic tool for distinguishing TC and acute coronary syndrome. However, in daily practice, clinicians are often faced with a dilemma especially when cardiac catheterization and thrombolytic therapy are relatively contraindicated, patient’s refusal, unavailability of diagnostic tool especially in remote area or can cause potential adverse consequences. This article aims to discuss the diagnosis of TC using clinical, laboratory and imaging parameters in the absence of coronary angiography. In electrocardiography, TC will show transient changes of ST segment elevation T wave abnormalities, pathological Q waves, new bundle-branch block and QTc interval prolongation. Other than electrocardiography, cardiac biomarkers, echocardiography, cardiac imaging can be used. There are few clinical criterias to diagnosing TC, such as Mayo Clinic criteria, GET QT criteria and interTAK diagnostic score. These multiple modalities can help distinguished TC from ACS, but further research is still needed.
Keywords: angina, takotsubo, cardiomyopathy, heart failure
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