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Erschienen in: Forensic Science, Medicine and Pathology 2/2016

28.01.2016 | Letter to the Editor

Do pathologists agree on how to diagnose takotsubo cardiomyopathy?

verfasst von: Paolo Angelini

Erschienen in: Forensic Science, Medicine and Pathology | Ausgabe 2/2016

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Excerpt

I read with great interest the report by Indorato et al. [1] regarding takotsubo transient cardiomyopathy (TTC). The authors described a case of sudden death in which the autopsy findings featured apical rupture of the myocardium. In reviewing the details of this case, I began to wonder whether the criteria for diagnosing TTC are well established in the field of pathology. In particular, the authors did not have a pre-mortem electrocardiogram, evidence of apical ballooning (pre- or post-mortem), or an elevation in catecholamine blood levels (the purported etiologic factor) on which to base their diagnosis. Obviously, disappearance of segmental akinesia is the main feature that was absent. …
Literatur
1.
Zurück zum Zitat Indorato F, Akashi YJ, Rossitto C, Raffino C, Bartoloni G. Takotsubo cardiomyopathy associated with rupture of the left ventricular apex: assessment of histopathological features of a fatal case and literature review. Forensic Sci Med Pathol. 2015;11:577–83.CrossRefPubMed Indorato F, Akashi YJ, Rossitto C, Raffino C, Bartoloni G. Takotsubo cardiomyopathy associated with rupture of the left ventricular apex: assessment of histopathological features of a fatal case and literature review. Forensic Sci Med Pathol. 2015;11:577–83.CrossRefPubMed
2.
Zurück zum Zitat Angelini P. Transient left ventricular apical ballooning: a unifying pathophysiologic theory at the edge of Prinzmetal angina. Catheter Cardiovasc Interv. 2008;71:342–52.CrossRefPubMed Angelini P. Transient left ventricular apical ballooning: a unifying pathophysiologic theory at the edge of Prinzmetal angina. Catheter Cardiovasc Interv. 2008;71:342–52.CrossRefPubMed
Metadaten
Titel
Do pathologists agree on how to diagnose takotsubo cardiomyopathy?
verfasst von
Paolo Angelini
Publikationsdatum
28.01.2016
Verlag
Springer US
Erschienen in
Forensic Science, Medicine and Pathology / Ausgabe 2/2016
Print ISSN: 1547-769X
Elektronische ISSN: 1556-2891
DOI
https://doi.org/10.1007/s12024-015-9739-8

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