An Update on Cardiac Magnetic Resonance Imaging in Takotsubo Cardiomyopathy

Maheshi Y Gunasekara; Alice M Mezincescu; Dana K Dawson

doi:10.1007/s12410-020-09536-0

An Update on Cardiac Magnetic Resonance Imaging in Takotsubo Cardiomyopathy

Maheshi Y Gunasekara^* (Corresponding Author), Alice M Mezincescu, Dana K Dawson

^*Corresponding author for this work

Applied Medicine

Research output: Contribution to journal › Review article › peer-review

16 Citations (Scopus)

9 Downloads (Pure)

Abstract

Purpose of Review
To provide an update on the use of cardiac magnetic resonance imaging in the diagnosis of Takotsubo cardiomyopathy.

Recent Findings
Long-term prognosis of Takotsubo cardiomyopathy may not be as clear-cut as previously thought. Cardiac magnetic resonance imaging not only allows differentiation between reversible and nonreversible changes but has an emerging role in identifying cellular level changes associated with prognostic indicators such as myocardial energetics using 31P-CMR spectroscopy and detection of myocardial inflammation overlying myocardial oedema, using ultrasmall paramagnetic iron oxide particle uptake in macrophages.

Summary
Takotsubo cardiomyopathy is a non-ischemic acute heart failure syndrome. It is commonly triggered by emotional or physical stress and is possibly the strongest psychosomatic interaction seen in medicine. While clinically its presentation mimics a myocardial infarction, the acute imaging characteristics are critical in correctly identifying the disease entity.

Original language	English
Article number	17
Journal	Current Cardiovascular Imaging Reports
Volume	13
Issue number	5
Early online date	29 Apr 2020
DOIs	https://doi.org/10.1007/s12410-020-09536-0
Publication status	Published - May 2020

Bibliographical note

Open Access via the Springer Compact

Keywords

stress cardiomyopathy
takotsubo
chest pain
cardiac MRI
Takotsubo
Chest pain
Cardiac MRI
Stress cardiomyopathy

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Cite this

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title = "An Update on Cardiac Magnetic Resonance Imaging in Takotsubo Cardiomyopathy",

abstract = "Purpose of ReviewTo provide an update on the use of cardiac magnetic resonance imaging in the diagnosis of Takotsubo cardiomyopathy.Recent FindingsLong-term prognosis of Takotsubo cardiomyopathy may not be as clear-cut as previously thought. Cardiac magnetic resonance imaging not only allows differentiation between reversible and nonreversible changes but has an emerging role in identifying cellular level changes associated with prognostic indicators such as myocardial energetics using 31P-CMR spectroscopy and detection of myocardial inflammation overlying myocardial oedema, using ultrasmall paramagnetic iron oxide particle uptake in macrophages.SummaryTakotsubo cardiomyopathy is a non-ischemic acute heart failure syndrome. It is commonly triggered by emotional or physical stress and is possibly the strongest psychosomatic interaction seen in medicine. While clinically its presentation mimics a myocardial infarction, the acute imaging characteristics are critical in correctly identifying the disease entity.",

keywords = "stress cardiomyopathy, takotsubo, chest pain, cardiac MRI, Takotsubo, Chest pain, Cardiac MRI, Stress cardiomyopathy",

author = "Gunasekara, {Maheshi Y} and Mezincescu, {Alice M} and Dawson, {Dana K}",

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doi = "10.1007/s12410-020-09536-0",

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volume = "13",

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AU - Gunasekara, Maheshi Y

AU - Mezincescu, Alice M

AU - Dawson, Dana K

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PY - 2020/5

Y1 - 2020/5

N2 - Purpose of ReviewTo provide an update on the use of cardiac magnetic resonance imaging in the diagnosis of Takotsubo cardiomyopathy.Recent FindingsLong-term prognosis of Takotsubo cardiomyopathy may not be as clear-cut as previously thought. Cardiac magnetic resonance imaging not only allows differentiation between reversible and nonreversible changes but has an emerging role in identifying cellular level changes associated with prognostic indicators such as myocardial energetics using 31P-CMR spectroscopy and detection of myocardial inflammation overlying myocardial oedema, using ultrasmall paramagnetic iron oxide particle uptake in macrophages.SummaryTakotsubo cardiomyopathy is a non-ischemic acute heart failure syndrome. It is commonly triggered by emotional or physical stress and is possibly the strongest psychosomatic interaction seen in medicine. While clinically its presentation mimics a myocardial infarction, the acute imaging characteristics are critical in correctly identifying the disease entity.

AB - Purpose of ReviewTo provide an update on the use of cardiac magnetic resonance imaging in the diagnosis of Takotsubo cardiomyopathy.Recent FindingsLong-term prognosis of Takotsubo cardiomyopathy may not be as clear-cut as previously thought. Cardiac magnetic resonance imaging not only allows differentiation between reversible and nonreversible changes but has an emerging role in identifying cellular level changes associated with prognostic indicators such as myocardial energetics using 31P-CMR spectroscopy and detection of myocardial inflammation overlying myocardial oedema, using ultrasmall paramagnetic iron oxide particle uptake in macrophages.SummaryTakotsubo cardiomyopathy is a non-ischemic acute heart failure syndrome. It is commonly triggered by emotional or physical stress and is possibly the strongest psychosomatic interaction seen in medicine. While clinically its presentation mimics a myocardial infarction, the acute imaging characteristics are critical in correctly identifying the disease entity.

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KW - chest pain

KW - cardiac MRI

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An Update on Cardiac Magnetic Resonance Imaging in Takotsubo Cardiomyopathy

Abstract

Bibliographical note

Keywords

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