• Highlights •
Pay attention to magnetic resonance imaging and improve the understanding of stress cardiomyopathy
DOI:10.3969/j.issn.1674-8034.2013.01.007.
| [Abstract] Stress cardiomyopathy (SC) is triggered by stressful events and characterized by reversible but distinctive left ventricular contraction pattern of apical ballooning. Recently large-sized sample, multicenter and prospective studies have shown some broad clinical profiles and diversity of contraction patterns. Cardiac magneticresonance (CMR) can be used for visualization of regional wall motion abnormalities and quantification of ventricular function. Importantly, late gadolinum enhancement (LGE) can differentiate reversible (inflammation/ischemic edema) from irreversible (necrosis/fibrosis) injury. This one-stop shop imaging has the unique ability to reflect the pathophysiological effects of SC. It might contribute to the establishment or rule out the diagnosis of SC at the time of acute clinical presentation. |
| [Keywords] Cardiomyopathy, congestive；Stress；Magnetic resonance imaging |
ZHAO Shi-hua* National Center for Cardiovascular Diseases, Fuwai Hospital, CAMS & PUMC, Beijing 100037, China
*Correspondence to: Zhao SH, E-mail: cjr.zhaoshihua@vip.163.com
Conflicts of interest None.
| Received 2012-10-06 |
| Accepted 2012-11-07 |
| DOI: 10.3969/j.issn.1674-8034.2013.01.007 |
| DOI:10.3969/j.issn.1674-8034.2013.01.007. |
[1]
Maron BJ, Towbin JA, Thiene G, et al. Contemporary definitions and classification of the cardiomyopathies: an American Heart Association Scientific Statement from the Council on Clinical Cardiology, Heart Failure and Transplantation Committee. Quality of Care and Outcomes Research and Functional Genomics and Translational Biology Interdisciplinary Working Groups, and Council on Epidemiology and Prevention. Circulation, 2006, 113(14): 1807-1816.
[2]
Wittstein IS, Thiemann DR, Lima JA, et al. Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med, 2005, 352(6): 539-548.
[3]
Prasad A, Lerman A, Rihal CS. Apical ballooning syndrome(tako-tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J, 2008, 155(3): 408-417.
[4]
Sharkey SW, Windenburg DC, Lesser JR, et al. Natural history and expansive clinical profile of stress (takotsubo) cardiomyopathy. J Am Coll Cardiol, 2010, 55(4): 333-341.
[5]
Hurst RT, Prasad A, Askew JW III, et al. Takotsubo cardiomyopathy: a unique cardiomyopathy with variable ventricular morphology. JACC Cardiovasc Imaging, 2010, 3(6): 641-649.
[6]
赵世华，闫朝武，何作祥，等.应激性心肌病的临床特征及影像诊断.中华放射学杂志，2007, 41(7): 698-701.
[7]
Abdel-Aty H, Cocker M, Friedrich MG. Myocardial edema is a feature of tako-tsubo cardiomyopathy and is related to the severity of systolic dysfunction: insights from T2-weighted cardiovascular magnetic resonance. Int J Cardiol, 2009, 132(2): 291-293.
[8]
Eitel I, Luecke C, Grothoff M, et al. Inflammation in takotsubo cardiomyopathy: insights from cardiovascular magnetic resonance imaging. Eur Radiol, 2010, 20(2): 422-431.
[9]
Eitel I, Knobelsdorff-Brenkenhoff F, Bernhardt F, et al. Clinical characteristics and cardiovascular magnetic resonance findings in stress (Takotsubo) cardiomyopathy. JAMA, 2011, 306(3): 277-286.
[10]
Hurst RT, Askew JW, Reuss CS, et al. Transient midventricular ballooning syndrome: a new variant. J Am Coll Cardiol, 2006, 48(3): 579-583.
[11]
Yoshida T, Nishizawa T, Yajima K, et al. A rare case of tako-tsubo cardiomyopathy with variable forms of left ventricular dys function: a new entity. Int J Cardiol, 2009, 134(2): e73-e75.
[12]
Rose JJ, Vanhecke TE, McCullough PA. Subarachnoid hem orrhage with neurocardiogenic stunning. Rev Cardiovasc Med, 2010, 11(4): 254-263.
[13]
Rolf A, Nef HM, Moellmann H, et al. Immunohistological basis of the late gadolinium enhancement phenomenon in tako-tsubo cardiomyopathy. Eur Heart J, 2009, 30(13): 1635-1642.
[14]
Wu KC, Weiss RG, Thiemann DR, et al. Late gadolinium enhancement by cardiovascular magnetic resonance heralds an adverse prognosis in nonischemic cardiomyopathy. J Am Coll Cardiol, 2008, 51(25): 2414-2421.
[15]
赵世华.心血管病磁共振诊断学.北京：人民卫生出版社，2011: 88-99.
[16]
Hundley WG, Bluemke DA, Finn JP, et al. ACCF/ACR/AHA/NASCI/SCMR 2010 expert consensus document on cardiovascular magnetic resonance: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. Circulation, 2010, 121(22): 2462-2508.
