International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology

Jelena-Rima Ghadri; Ilan Shor Wittstein; Abhiram Prasad; Scott Sharkey; Keigo Dote; Yoshihiro John Akashi; Victoria Lucia Cammann; Filippo Crea; Leonarda Galiuto; Walter Desmet; Tetsuro Yoshida; Roberto Manfredini; Ingo Eitel; Masami Kosuge; Holger M Nef; Abhishek Deshmukh; Amir Lerman; Eduardo Bossone; Rodolfo Citro; Takashi Ueyama; Domenico Corrado; Satoshi Kurisu; Frank Ruschitzka; David Winchester; Alexander R Lyon; Elmir Omerovic; Jeroen J Bax; Patrick Meimoun; Guiseppe Tarantini; Charanjit Rihal; Shams Y. Hassan; Federico Migliore; John D Horowitz; Hiroaki Shimokawa; Thomas Felix Lüscher; Christian Templin

doi:10.1093/eurheartj/ehy076

International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology

Jelena-Rima Ghadri
, Ilan Shor Wittstein
, Abhiram Prasad
, Scott Sharkey
, Keigo Dote
, Yoshihiro John Akashi
, Victoria Lucia Cammann
, Filippo Crea
, Leonarda Galiuto
, Walter Desmet
, Tetsuro Yoshida
, Roberto Manfredini
, Ingo Eitel
, Masami Kosuge
, Holger M Nef
, Abhishek Deshmukh
, Amir Lerman
, Eduardo Bossone
, Rodolfo Citro
, Takashi Ueyama

Domenico Corrado, Satoshi Kurisu, Frank Ruschitzka, David Winchester, Alexander R Lyon, Elmir Omerovic, Jeroen J Bax, Patrick Meimoun, Guiseppe Tarantini, Charanjit Rihal, Shams Y. Hassan, Federico Migliore, John D Horowitz, Hiroaki Shimokawa, Thomas Felix Lüscher, Christian Templin

University of Zurich
Johns Hopkins University
Mayo Clinic Rochester, MN
Allina Health
Hiroshima City Asa Citizens Hospital
St. Marianna University School of Medicine
KU Leuven
Onga Nakama Medical Association Onga Hospital
University of Ferrara
University of Lübeck
Yokohama City University
Universitätsklinikum Giessen und Marburg, Standort Giessen
University Hospital ‘San Giovanni di Dio e Ruggi d’Aragona’
Wakayama Medical University
University of Padua
Hiroshima University
University of Florida
Royal Brompton Hospital
Sahlgrenska University Hospital
Leiden University
Fédération Hospitalière de France
Karolinska Institutet
University of Adelaide
Tohoku University
Universität Zürich

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357 Citations (Scopus)

Abstract

Takotsubo syndrome (TTS) is a poorly recognized heart disease that was initially regarded as a benign condition. Recently, it has been shown that TTS may be associated with severe clinical complications including death and that its prevalence is probably underestimated. Since current guidelines on TTS are lacking, it appears timely and important to provide an expert consensus statement on TTS. The clinical expert consensus document part I summarizes the current state of knowledge on clinical presentation and characteristics of TTS and agrees on controversies surrounding TTS such as nomenclature, different TTS types, role of coronary artery disease, and etiology. This consensus also proposes new diagnostic criteria based on current knowledge to improve diagnostic accuracy.

Original language	English
Pages (from-to)	2032-2046
Number of pages	15
Journal	European Heart Journal
Volume	39
DOIs	https://doi.org/10.1093/eurheartj/ehy076
Publication status	Published - 2018

Keywords

Acute heart failure
Broken heart syndrome
Cardiology and Cardiovascular Medicine
Consensus statement
InterTAK Diagnostic Criteria
Takotsubo definition
Takotsubo syndrome

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10.1093/eurheartj/ehy076

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Ghadri, J.-R., Wittstein, I. S., Prasad, A., Sharkey, S., Dote, K., Akashi, Y. J., Cammann, V. L., Crea, F., Galiuto, L., Desmet, W., Yoshida, T., Manfredini, R., Eitel, I., Kosuge, M., Nef, H. M., Deshmukh, A., Lerman, A., Bossone, E., Citro, R., ... Templin, C. (2018). International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology. European Heart Journal, 39, 2032-2046. https://doi.org/10.1093/eurheartj/ehy076

@article{f4b087ed208b4e2a90c07a4caf95f7bd,

title = "International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology",

abstract = "Takotsubo syndrome (TTS) is a poorly recognized heart disease that was initially regarded as a benign condition. Recently, it has been shown that TTS may be associated with severe clinical complications including death and that its prevalence is probably underestimated. Since current guidelines on TTS are lacking, it appears timely and important to provide an expert consensus statement on TTS. The clinical expert consensus document part I summarizes the current state of knowledge on clinical presentation and characteristics of TTS and agrees on controversies surrounding TTS such as nomenclature, different TTS types, role of coronary artery disease, and etiology. This consensus also proposes new diagnostic criteria based on current knowledge to improve diagnostic accuracy.",

keywords = "Acute heart failure, Broken heart syndrome, Cardiology and Cardiovascular Medicine, Consensus statement, InterTAK Diagnostic Criteria, Takotsubo definition, Takotsubo syndrome, Acute heart failure, Broken heart syndrome, Cardiology and Cardiovascular Medicine, Consensus statement, InterTAK Diagnostic Criteria, Takotsubo definition, Takotsubo syndrome",

author = "Jelena-Rima Ghadri and Wittstein, \{Ilan Shor\} and Abhiram Prasad and Scott Sharkey and Keigo Dote and Akashi, \{Yoshihiro John\} and Cammann, \{Victoria Lucia\} and Filippo Crea and Leonarda Galiuto and Walter Desmet and Tetsuro Yoshida and Roberto Manfredini and Ingo Eitel and Masami Kosuge and Nef, \{Holger M\} and Abhishek Deshmukh and Amir Lerman and Eduardo Bossone and Rodolfo Citro and Takashi Ueyama and Domenico Corrado and Satoshi Kurisu and Frank Ruschitzka and David Winchester and Lyon, \{Alexander R\} and Elmir Omerovic and Bax, \{Jeroen J\} and Patrick Meimoun and Guiseppe Tarantini and Charanjit Rihal and Hassan, \{Shams Y.\} and Federico Migliore and Horowitz, \{John D\} and Hiroaki Shimokawa and L{\"u}scher, \{Thomas Felix\} and Christian Templin",

year = "2018",

doi = "10.1093/eurheartj/ehy076",

language = "English",

volume = "39",

pages = "2032--2046",

journal = "European Heart Journal",

issn = "0195-668X",

publisher = "Oxford University Press",

}

Ghadri, J-R, Wittstein, IS, Prasad, A, Sharkey, S, Dote, K, Akashi, YJ, Cammann, VL, Crea, F, Galiuto, L, Desmet, W, Yoshida, T, Manfredini, R, Eitel, I, Kosuge, M, Nef, HM, Deshmukh, A, Lerman, A, Bossone, E, Citro, R, Ueyama, T, Corrado, D, Kurisu, S, Ruschitzka, F, Winchester, D, Lyon, AR, Omerovic, E, Bax, JJ, Meimoun, P, Tarantini, G, Rihal, C, Hassan, SY, Migliore, F, Horowitz, JD, Shimokawa, H, Lüscher, TF & Templin, C 2018, 'International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology', European Heart Journal, vol. 39, pp. 2032-2046. https://doi.org/10.1093/eurheartj/ehy076

TY - JOUR

T1 - International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology

AU - Ghadri, Jelena-Rima

AU - Wittstein, Ilan Shor

AU - Prasad, Abhiram

AU - Sharkey, Scott

AU - Dote, Keigo

AU - Akashi, Yoshihiro John

AU - Cammann, Victoria Lucia

AU - Crea, Filippo

AU - Galiuto, Leonarda

AU - Desmet, Walter

AU - Yoshida, Tetsuro

AU - Manfredini, Roberto

AU - Eitel, Ingo

AU - Kosuge, Masami

AU - Nef, Holger M

AU - Deshmukh, Abhishek

AU - Lerman, Amir

AU - Bossone, Eduardo

AU - Citro, Rodolfo

AU - Ueyama, Takashi

AU - Corrado, Domenico

AU - Kurisu, Satoshi

AU - Ruschitzka, Frank

AU - Winchester, David

AU - Lyon, Alexander R

AU - Omerovic, Elmir

AU - Bax, Jeroen J

AU - Meimoun, Patrick

AU - Tarantini, Guiseppe

AU - Rihal, Charanjit

AU - Hassan, Shams Y.

AU - Migliore, Federico

AU - Horowitz, John D

AU - Shimokawa, Hiroaki

AU - Lüscher, Thomas Felix

AU - Templin, Christian

PY - 2018

Y1 - 2018

N2 - Takotsubo syndrome (TTS) is a poorly recognized heart disease that was initially regarded as a benign condition. Recently, it has been shown that TTS may be associated with severe clinical complications including death and that its prevalence is probably underestimated. Since current guidelines on TTS are lacking, it appears timely and important to provide an expert consensus statement on TTS. The clinical expert consensus document part I summarizes the current state of knowledge on clinical presentation and characteristics of TTS and agrees on controversies surrounding TTS such as nomenclature, different TTS types, role of coronary artery disease, and etiology. This consensus also proposes new diagnostic criteria based on current knowledge to improve diagnostic accuracy.

AB - Takotsubo syndrome (TTS) is a poorly recognized heart disease that was initially regarded as a benign condition. Recently, it has been shown that TTS may be associated with severe clinical complications including death and that its prevalence is probably underestimated. Since current guidelines on TTS are lacking, it appears timely and important to provide an expert consensus statement on TTS. The clinical expert consensus document part I summarizes the current state of knowledge on clinical presentation and characteristics of TTS and agrees on controversies surrounding TTS such as nomenclature, different TTS types, role of coronary artery disease, and etiology. This consensus also proposes new diagnostic criteria based on current knowledge to improve diagnostic accuracy.

KW - Acute heart failure

KW - Broken heart syndrome

KW - Cardiology and Cardiovascular Medicine

KW - Consensus statement

KW - InterTAK Diagnostic Criteria

KW - Takotsubo definition

KW - Takotsubo syndrome

KW - Acute heart failure

KW - Broken heart syndrome

KW - Cardiology and Cardiovascular Medicine

KW - Consensus statement

KW - InterTAK Diagnostic Criteria

KW - Takotsubo definition

KW - Takotsubo syndrome

UR - http://hdl.handle.net/10807/126482

UR - http://eurheartj.oxfordjournals.org/

U2 - 10.1093/eurheartj/ehy076

DO - 10.1093/eurheartj/ehy076

M3 - Article

SN - 0195-668X

VL - 39

SP - 2032

EP - 2046

JO - European Heart Journal

JF - European Heart Journal

ER -

International Expert Consensus Document on Takotsubo Syndrome (Part I): Clinical Characteristics, Diagnostic Criteria, and Pathophysiology

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