Tako-Tsubo Cardiomyopathy is a type of –
Correct Answer: Dilated Cardiomyopathy
Description: Ans. is 'a' i.e., Dilated Cardiomyopathy [Ref: Harrison 18th/e p. 1964)o Stress cardiomyopathy, also called apical ballooning syndrome, broken heart syndrome, tako-tsubo cardiomyopathy, and stress induced cardiomyopathy is an increasingly reported syndrome characterized by transient systolic dysfunction of the apical and/or mild segments of the left ventricle that mimics myocardial infarction but in the absence of obstructive coronary artery disease.o Stress cardiomyopathy is typically triggered by an acute medical illness or by intense emotional or physical stress, although triggering event is not always present.o Stress cardiomyopathy may account for approximately 2% of suspected acute coronary syndrome,o Common presenting features included : -# ECG abnormalities, often anterior ST elevation,# Elevated cardiac biomarkers# Substernal chest pain and dyspnoea.o Proposed diagnostic criteria include# Presence of transient regional wall motion abnormalities# Absence of angiographic evidence of obstructive coronary disese or acute plaque rupture# Presence of new ECG abnormalities or modest troponin elevation absence ofpheochromocytoma.
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