Heart Information Center
 
Ask a Heart Doctor
  Back to previous page

 

Help us improve this service.

Your feedback will help guide us in developing this site.

Ask a Texas Heart Institute Doctor 
Informed patients make better patients.

Question:

How do you determine if one has Takostubo cardiomyopathy? 

What is the detailed procedure for determining if one has Takotsubo cardiomyopathy versus side effects to medication such as Bystolic? 

submitted by Rebecca from Houston, Texas on 3/4/2013

Answer:

by Texas Heart Institute cardiologist, Domingo G. Gonzalez, Jr., MD  

Domingo G. Gonzalez, Jr., MD Takotsubo, or as it is more widely known, stress cardiomyopathy [or broken heart syndrome] is a diagnosis of exclusion. It presents primarily in middle-aged women with a trigger of some type of stress. The stress can be physical or emotional. The patient presents with classic angina symptoms and the ECG is consistent with an acute heart attack. Since the treatment of acute heart attack is to open the artery that is blocked, these patients are usually taken to the cath lab where an invasive angiogram is performed. The findings are of open arteries that are normal or near normal with the left ventrical extremely weak and often contracting only the base of the heart muscle. At this time, the patient is at risk of dying from low BP or heart rhythm problems. If the patient survives in the short term, his/her ventricle normalizes function in a few weeks. Alternatively, a CT angiogram can be used to diagnose as well. Bystolic is an accepted treatment for weak hearts and is not known to cause this type of complication. On the contrary, it is useful.  

See also on this site:  

Has your question or a similar one already been answered?
Search all the Heart Doctor questions and answers.

To search for a doctor or access St. Luke's physician referral service, use the "Find a Doctor" link at the top of this page.


Updated March 2013
Top  

If you need information about keeping your heart healthy, e-mail the
Heart Information Center or call 1-800-292-2221.
 (Outside the U.S., call 1-832-355-6536.)

Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
Like us on Facebook Follow us on Twitter Subscribe to us on YouTube Find Us on Flicikr Follow Us on Pinterest Add us on Google+

Please contact our Webmaster with questions or comments.
Terms of Use and Privacy Policy
© Copyright 1996-2014 Texas Heart Institute.
All rights reserved.
This website is accredited by Health On the Net Foundation. Click to verify. U.S. NEWS America's Best Hospitals 2013-14