Takotsubo syndrome

Abstract

Takotsubo syndrome is considered to be an acute transitory heart failure, often triggered by physical or emotional stress. The pathophysiology is complex and not well defined with predominant symptoms such as dyspnea and chest pain. The usual clinical presentation is almost indistinguishable from acute coronary syndrome, which is its main differential diagnosis. The main objective of the publication is to provide an overview of key points in the clinical suspicion of the disease. As a result of the research is exposed the absence of solid evidence to support a specific therapy. Most publications agree that catecholamines play a key role in the disease. Most patients require only supportive treatment and it is concluded that only a small percentage are at high risk of complications and will need attention in the Intensive Care Unit. In general the prognosis is good, with a complete recovery rate of 95%. It is a disease that is seen more frequently associated with psychiatric pathologies compared to the classic presentation of a coronary syndrome.