Tako-tsubo cardiomyopathy: how stress can mimic acute coronary occlusion

To the Editor: Abdulla and Ward’s excellent article on tako-tsubo cardiomyopathy (TTC)1 raises two important issues.

Correspondence: lavenp@epworth.org.au

1. Abdulla I, Ward MR. Tako-tsubo cardiomyopathy: how stress can mimic acute coronary occlusion. Med J Aust 2007; 187: 357-360. <MJA full text>
2. Gianni M, Dentali F, Grandi AM, et al. Apical ballooning syndrome or takotsubo cardiomyopathy: a systemic review. Eur Heart J 2006; 27: 1523-1529.
3. Wittstein IS, Thiemann DR, Lima JA, et al. Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med 2005; 352: 539-548.
4. Fujiwara S, Takeishi Y, Isoyama S, et al. Responsiveness to dobutamine stimulation in patients with left ventricular apical ballooning syndrome. Am J Cardiol 2007; 100: 1600-1603.
5. Padayachee L. Levosimendan: the inotrope of choice in cardiogenic shock secondary to takotsubo cardiomyopathy? Heart Lung Circ 2007; 16 Suppl 3: S65-S70.

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