Takotsubo cardiomyopathy

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aka transient apical ballooning syndrome, apical ballooning cardiomyopathy, stress-induced cardiomyopathy, broken-heart-syndrome, and simply stress cardiomyopathy.


  • Non-ischemic cardiomyopathy
  • Can be triggered by emotional stress, such as the death of a loved one
  • Sudden onset of congestive heart failure or chest pain associated with EKG changes suggestive of an anterior wall myocardial infarction
  • Bulging out of the left ventricular apex with a hypercontractile base of the left ventricle
  • Tako tsubo or octopus trap in Japan, where it was first described
  • Provided that the individual survives their initial presentation, the left ventricular function improves within 2 months
  • More commonly seen in post-menopausal women