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

Yasmine S. Ali, MD, MSCI


January 22, 2018

Physical examination findings are nonspecific and often normal, but the patient may exhibit the clinical appearance of ACS or acute congestive heart failure (CHF). Patients may appear anxious and diaphoretic. Tachyarrhythmias and bradyarrhythmias have been reported, but the average heart rate in one review was 102 beats/min.

Unlike ACS, for which the peak occurrence is during the morning hours, Takotsubo cardiomyopathy events are most prevalent in the afternoon, when stressful triggers are more likely to take place. A large systematic review found that patients with Takotsubo cardiomyopathy tend to have a lower incidence of traditional cardiac risk factors, such as hypertension, hyperlipidemia, diabetes, smoking, or positive family history for cardiovascular disease.

The most common presenting symptoms of Takotsubo cardiomyopathy are chest pain and dyspnea, although palpitations, nausea, vomiting, syncope, and, rarely, cardiogenic shock have been reported.

For more on the presentation of Takotsubo cardiomyopathy, read here.


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