Skip Navigation


European Heart Journal Advance Access originally published online on September 25, 2006
European Heart Journal 2006 27(20):2433-2439; doi:10.1093/eurheartj/ehl274
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
27/20/2433    most recent
ehl274v1
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (28)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Haghi, D.
Right arrow Articles by Sechtem, U.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Haghi, D.
Right arrow Articles by Sechtem, U.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Right ventricular involvement in Takotsubo cardiomyopathy

Dariusch Haghi1, Anastasios Athanasiadis2, Theano Papavassiliu1,*, Tim Suselbeck1, Stephan Fluechter1, Heiko Mahrholdt2, Martin Borggrefe1 and Udo Sechtem2

1 Medical Department, University Hospital Mannheim, Theodor-Kutzer-Ufer 1–3, Mannheim 68167, Germany
2 Division of Cardiology, Robert-Bosch-Krankenhaus, Stuttgart, Germany

Received 15 June 2006; revised 3 August 2006; accepted 11 September 2006; online publish-ahead-of-print 25 September 2006.

* Corresponding author. Tel: +49 621 3832612; fax: +49 621 3832172. E-mail address: theano.papavassilliu{at}med.ma.uni-heidelberg.de

Aims The aim of our study is to assess the incidence and clinical significance of right ventricular (RV) involvement in Takotsubo cardiomyopathy (TTC).

Methods and results Between February 2002 and December 2005, 47 patients with TTC underwent cardiovascular magnetic resonance (CMR) at our institutions. 13 patients with delayed initial CMR were excluded. In the remaining 34 patients (32 women), RV wall motion abnormalities (WMAs) were present in nine (26%). Left ventricular ejection fraction (LVEF) was significantly lower in patients with RV involvement (40±6 vs. 48±10%, P=0.04). The most frequently affected RV segments were the apico-lateral (89%), the antero-lateral (67%), and the inferior segment (67%). All RV WMA improved or disappeared in eight of nine patients who underwent a follow-up CMR study. Pleural effusion was more common in patients with RV involvement (67 vs. 8%, P<0.001) and was predictive of RV dysfunction (sensitivity 67% and specificity 92%). Significant or bilateral pleural effusions were seen exclusively in patients with RV involvement.

Conclusion RV involvement is common in TTC and seems to be associated with a more severe impairment in LV systolic function. It may be suspected by the presence of pleural effusion.

Key Words: Takotsubo cardiomyopathy • Apical ballooning syndrome • Right ventricle


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Am J Health Syst PharmHome page
J. C. Coons, M. Barnes, and K. Kusick
Takotsubo cardiomyopathy
Am. J. Health Syst. Pharm., March 15, 2009; 66(6): 562 - 566.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Kogan, P. Ghosh, E. Schwammenthal, and E. Raanani
Reply.
Ann. Thorac. Surg., February 1, 2009; 87(2): 674 - 675.
[Full Text] [PDF]

Home page
 Eur Heart JHome page
I. Eitel, F. Behrendt, K. Schindler, D. Kivelitz, M. Gutberlet, G. Schuler, and H. Thiele
Differential diagnosis of suspected apical ballooning syndrome using contrast-enhanced magnetic resonance imaging
Eur. Heart J., November 1, 2008; 29(21): 2651 - 2659.
[Abstract] [Full Text] [PDF]

Home page
 EuropaceHome page
E. Wissner, F. D. Fortuin, L. R. Scott, and G. T. Altemose
Reversible pacemaker dysfunction in a patient with transient cardiac apical ballooning syndrome: a case report
Europace, September 1, 2008; 10(9): 1105 - 1107.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
K. A. Bybee and A. Prasad
Stress-Related Cardiomyopathy Syndromes
Circulation, July 22, 2008; 118(4): 397 - 409.
[Full Text] [PDF]

Home page
 ChestHome page
N. K. Singh
Transient Ventricular Dysfunction Syndrome: The Evolving Nomenclature
Chest, June 1, 2008; 133(6): 1532 - 1532.
[Full Text] [PDF]

Home page
 Eur Heart JHome page
V. Kurowski, H. Schunkert, and P. W. Radke
Pathophysiology of 'Tako-Tsubo' cardiomyopathy: collecting pieces of a puzzle
Eur. Heart J., April 2, 2008; 29(8): 1072 - 1072.
[Full Text] [PDF]

Home page
 ChestHome page
J. Ako, P. W. Radke, H. Schunkert, and V. Kurowski
Apical and Midventricular Transient Left Ventricular Dysfunction Syndrome (Tako-tsubo Cardiomyopathy)
Chest, April 1, 2008; 133(4): 1052 - 1053.
[Full Text] [PDF]

Home page
 ChestHome page
S. Nanda, S. P. Bhatt, T. H. Dale, V. Kurowski, C. Burgdorf, and P. W. Radke
Tako-tsubo Cardiomyopathy: An Insight Into Pathogenesis
Chest, February 1, 2008; 133(2): 583 - 584.
[Full Text] [PDF]

Home page
 Eur Heart JHome page
H. M. Nef, H. Mollmann, S. Kostin, C. Troidl, S. Voss, M. Weber, T. Dill, A. Rolf, R. Brandt, C. W. Hamm, et al.
Tako-Tsubo cardiomyopathy: intraindividual structural analysis in the acute phase and after functional recovery
Eur. Heart J., October 2, 2007; 28(20): 2456 - 2464.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
H. M Nef, H. Mollmann, and A. Elsasser
Tako-tsubo cardiomyopathy (apical ballooning)
Heart, October 1, 2007; 93(10): 1309 - 1315.
[Full Text] [PDF]

Home page
 Eur J Heart FailHome page
D. L. Brutsaert
Tako-Tsubo cardiomyopathy
Eur J Heart Fail, August 1, 2007; 9(8): 854 - 854.
[Full Text] [PDF]

Home page
 Eur Heart JHome page
Z.-Z. Song and J. Ma
Right ventricular involvement in Takotsubo cardiomyopathy
Eur. Heart J., April 2, 2007; 28(8): 1037 - 1038.
[Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.