Stress cardiomyopathy criteria: Difference between revisions
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In 2004, researchers at the Mayo Clinic proposed a criteria for the diagnosis of stress cardiomyopathy. All 4 points of the criteria must be fulfilled: | In 2004, researchers at the Mayo Clinic proposed a criteria for the diagnosis of stress cardiomyopathy. All 4 points of the criteria must be fulfilled: | ||
* Transient hypokinesis, akinesis or dyskinesis of the left ventricular mid | * Transient [[Hypokinesia|hypokinesis]], [[Akinesia|akinesis]], or [[Dyskinesia|dyskinesis]] of the [[left ventricular]] mid segments with or without [[apical]] involvement; the regional wall motion abnormalities extend beyond a single [[epicardial]] [[vascular]] distribution; a stressful trigger is often, but not always present. | ||
* Absence of obstructive coronary disease or angiographic evidence of acute plaque rupture. | * Absence of obstructive [[Coronary heart disease|coronary disease]] or [[angiographic]] evidence of [[acute]] [[plaque rupture]]. | ||
* New electrocardiographic abnormalities (either ST-segment elevation and/or T- wave inversion) or modest elevation in | * New [[electrocardiographic]] abnormalities (either [[ST-segment elevation]] and/or [[T-wave inversion]]) or modest elevation in [[cardiac troponin]]. | ||
* Absence of [[pheochromocytoma]] and [[myocarditis]] | * Absence of [[pheochromocytoma]] and [[myocarditis]]. | ||
===The Various Patterns of Wall Motion Abnormalities=== | ===The Various Patterns of Wall Motion Abnormalities=== | ||
It should be that the wall motion abnormalities are not always anteroapical. | It should be that the wall motion abnormalities are not always anteroapical. | ||
Revision as of 17:29, 6 January 2017
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Stress cardiomyopathy Microchapters |
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Diagnosis |
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Treatment |
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Unstable angina/non ST elevation myocardial infarction in Stress (Takotsubo) Cardiomyopathy |
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Case Studies |
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Stress cardiomyopathy criteria On the Web |
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American Roentgen Ray Society Images of Stress cardiomyopathy criteria |
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Risk calculators and risk factors for Stress cardiomyopathy criteria |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Mayo Criteria
In 2004, researchers at the Mayo Clinic proposed a criteria for the diagnosis of stress cardiomyopathy. All 4 points of the criteria must be fulfilled:
- Transient hypokinesis, akinesis, or dyskinesis of the left ventricular mid segments with or without apical involvement; the regional wall motion abnormalities extend beyond a single epicardial vascular distribution; a stressful trigger is often, but not always present.
- Absence of obstructive coronary disease or angiographic evidence of acute plaque rupture.
- New electrocardiographic abnormalities (either ST-segment elevation and/or T-wave inversion) or modest elevation in cardiac troponin.
- Absence of pheochromocytoma and myocarditis.
The Various Patterns of Wall Motion Abnormalities
It should be that the wall motion abnormalities are not always anteroapical.
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Different end-systolic left ventricular (LV) silhouettes.
A, [1]; B, [2]; C, [3]; D, [4]; E, [5]; and F, [6]. There is wide heterogeneity among the different patterns, varying from a relatively small akinetic apical area in C to a wide global akinesia in D and E. [7]
References
- ↑ Abe Y, Kondo M, Matsuoka R, Araki M, Dohyama K, Tanio H. Assessment of clinical features in transient left ventricular apical ballooning. J Am Coll Cardiol. 2003;41:737-742.
- ↑ San Roman Sanchez D, Medina O, Jimenez F, Rodriguez JC, Nieto V. Dynamic intraventricular obstruction in acute myocardial infarction. Echocardiography. 2001;18:515-518.
- ↑ 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.
- ↑ Rivera JM, Locketz AJ, Fritz KD, et al. “Broken heart syndrome” after separation (from OxyContin). Mayo Clin Proc. 2006;81:825-828.
- ↑ Desmet WJ, Adriaenssens BF, Dens JA. Apical ballooning of the left ventricle: first series in white patients. Heart. 2003;89:1027-1031.
- ↑ Reyburn AM, Vaglio JC Jr. Transient left ventricular apical ballooning syndrome. Mayo Clin Proc. 2006;81:824.
- ↑ Ibanez B. Takotsubo Syndrome: A Bayesian Approach to Interpreting Its Pathogenesis Mayo Clin Proc. 2006; 81: 732-735