Fast Five Quiz: How Much Do You Know About 'Broken-Heart Syndrome'?

Yasmine S. Ali, MD, MSCI


January 22, 2018

Takotsubo cardiomyopathy has been referred to as acute stress-induced cardiomyopathy, apical ballooning syndrome, and "broken-heart syndrome." It is a transient cardiac syndrome that involves left ventricular apical akinesis and mimics acute coronary syndrome. Patients often present with chest pain and generally have a similar presentation to those with myocardial infarction (MI). However, when the patient undergoes cardiac angiography, ballooning of the apex of the left ventricle (LV) or, less commonly, of other segments of the LV, is present, and no significant coronary artery stenosis is observed. The absence of obstructive coronary artery disease is key to the diagnosis in this context.

Although most patients completely recover within 4-8 weeks, significant complications occur in nearly 20% of cases, particularly during the early stages. Do you know important factors related to presentation, workup, and treatment? Test yourself with this short quiz.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.