Can longitudinal strain analysis differentiate between Takotsubo syndrome and acute coronary syndrome?

Background Takotsubo syndrome (TTS) is characterized by transient abnormalities of myocardial contractility. Noninvasive tests are currently being sought to differentiate TTS from acute coronary syndrome (ACS). The aim of the study To evaluate the prevalence of TTS and echocardiographic parameters t...

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Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2023-03, Vol.40 (3), p.174-179
Main Authors: Wilk, Aleksandra, Król, Wojciech, Anna, Żarek‐Starzewska, Ziemska‐Gorczyca, Marlena, Tetera, Weronika, Konopka, Marcin, Binkiewicz‐Orluk, Maria, Braksator, Wojciech
Format: Article
Language:English
Subjects:
Acute Coronary Syndrome
Anterior Wall Myocardial Infarction
Echocardiography
Humans
Myocardium
ST Elevation Myocardial Infarction
strain echocardiography
stress cardiomyopathy
Takotsubo Cardiomyopathy
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Summary:Background Takotsubo syndrome (TTS) is characterized by transient abnormalities of myocardial contractility. Noninvasive tests are currently being sought to differentiate TTS from acute coronary syndrome (ACS). The aim of the study To evaluate the prevalence of TTS and echocardiographic parameters to distinguish apical TTS from acute anterior wall infarction. Material and methods The medical records of patients with suspected TTS, hospitalized in the Department of Cardiology (TTS group n = 18) were analyzed. The control group included patients with STEMI of the left ventricle anterior wall and anterior and lateral wall (STEMI group n = 17). Standard transthoracic echocardiography (TTE) was supplemented with segmental longitudinal strain (LS) assessment with the use of acoustic marker tracking. Results A statistically significant difference was observed in the second cardiac troponine I (CTNI) measurement (TTS: 3241.2 ng/L vs. STEMI: 12032.6 ng/L; p 
ISSN:0742-2822
1540-8175
DOI:10.1111/echo.15510