Takotsubo Cardiomyopathy Explained (Broken Heart Syndrome)

Takotsubo Cardiomyopathy, also known as Broken Heart Syndrome, Stress Cardiomyopathy or Apical Ballooning Syndrome, is a condition that impairs the heart's ability to contract effectively. Takotsubo means octopus trap in Japanese, which is the shape the left ventricle resembles in this condition. We look at Takotsubo Cardiomyopathy pathology and symptoms, diagnosis including ECG changes as well as treatment.

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Video Timestamps:
0:00 What is Takotsubo Cardiomyopathy?
0:36 Takotsubo Cardiomyopathy Pathology / Causes
1:59 Takotsubo Cardiomyopathy Risk Factors
2:54 Takotsubo Cardiomyopathy Symptoms
3:14 Takotsubo Cardiomyopathy Diagnosis
4:14 Takotsubo Cardiomyopathy Treatment & Prognosis

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Other Questions answered and video tags:
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Broken heart syndrome
Stress cardiomyopathy
Apical ballooning syndrome
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Disclaimer: Please remember this video and all content from Rhesus Medicine is for educational and entertainment purposes only and is not a guide to diagnose or to treat any form of condition. The content is not to be used to guide clinical practice and is not medical advice. Please consult a healthcare professional for medical advice.

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[RhesusMedicine]

For more medicine videos consider subscribing (if you found any of the info useful!):


Video Timestamps:
0:00 What is Takotsubo Cardiomyopathy?
0:36 Takotsubo Cardiomyopathy Pathology / Causes
1:59 Takotsubo Cardiomyopathy Risk Factors
2:54 Takotsubo Cardiomyopathy Symptoms
3:14 Takotsubo Cardiomyopathy Diagnosis
4:14 Takotsubo Cardiomyopathy Treatment & Prognosis

[Beepinsqueekin]

I suffered from abrupt takotsubo cardiomyopathy in 2020. No emotional stress precipitated the event. Due to severe chest pains radiating to my neck, an ambulance was called. My troponin at highest was 3.84ng/ml. An emergency heart cath was performed with no blockages noted. Heart echo diagnosed takotsubo. Ejection fraction was 30%. I developed pulmonary edema 6 hours after admission to the cardiac care unit and received lasix and oxygen. I was stable by day 4 and was discharged with many follow-ups. My heart regained its proper shape by 2 months. Currently on aspirin, ace inhibitor, and beta blocker.

[dbentleyto]

Pheochromocytoma was my culprit. The Takosubo Cardiomyopathy was treated with blood pressure meds and ACE inhibitors. Normal shape retained after 6 to 10 months, but chest pains and positional palpitations abs high BP continued. Having had many CT heart scans for over 5 years a very sharp eyes ER Dr. observed the adrenal gland, just barely in view, was growing agitated and showing enlargement and shadowing. The Dr. remembered in his studies about pheo, tested and after finally getting an appt with an endocrine surgeon, he continued saving me by adrenalectomy and scraping my heart veins of the mass growing. I am 5 years post operation with no BP problems or recurrence. I am happy to see that checking for a pheochromocytoma is part of the procedure during a Takosubo Cardiomyopathy situation. If this had been known 10 years ago, the pheo could have been caught much earlier.

[chimsss]

I’m 28 years old and in the hospital right now watching this vid cause this is what happened to me this week 😅lol at me being part of the 3% happened due to elongated PTSD stress on top of other chronic health issues such as: fibromyalgia, endometriosis and osteoarthritis. This stuff does not just affect middle aged- older adults. I almost didn’t go to the hospital because of the myth that these types of cardiac events don’t happen to young people as often- an episode of greys anatomy, tik tok and google were the only reasons I knew to take my symptoms seriously and go to emergency

[tarawoods]

Here at 4minutes you state negative enzymes like troponin are seen in takotsubo, Uni & other resources state cardiac enzymes are positive.

[ColeB-jymh]

They are missing joy… joy is another of the great stress factors that can cause this effect

[ChenKayee]

Dear Rhesus Medicine,
I am studying for my biochemistry in hypertension and your video helps me a lot when understanding broken heart disease becoz it is one of the result of pheochromocytoma! Just wanna know whether it is a regular workup to check adrenal gland ct and also metaephrines for broken heart disease in case of pheochromocytma toxicosis, look forward to your response!

[tmc]

Does anyone describe the pain like the sensation of biting into a lemon…. A puckering spasm pain that lasts for seconds to minutes?