ISSN : 2146-3123
E-ISSN : 2146-3131

Takotsubo Syndrome: An International Expert Consensus Report on Practical Challenges and Specific Conditions (Part-1: Diagnostic and Therapeutic Challenges)
Kenan Yalta1, John E Madias2, Nicholas G Kounis3, Shams Y-Hassan4, Marija Polovina5, Servet Altay1, Alexandre Mebazaa6, Mehmet Birhan Yilmaz7, Yuri Lopatin8, Mamas A Mamas9, Robert J Gil10, Ritu Thamman11, Abdallah Almaghraby12, Biykem Bozkurt13, Gani Bajraktari14,15,16, Thomas Fink17, Vassil Traykov18, Stephane Manzo-Silberman19, Ulvi Mirzoyev20, Sekib Sokolovic21, Zviad V Kipiani22, Cecilia Linde23,24, Petar M Seferovic25
1Department of Cardiology, Trakya University Faculty of Medicine, Edirne, Türkiye
2Department of Cardiology, Icahn School of Medicine at Mount Sinai, Elmhurst Hospital Center, Elmhurst, NY, United States of America
3Department of Cardiology, University of Patras Medical School, Patras, Greece
4Coronary Artery Disease Area, Heart and Vascular Theme, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden
5Department of Cardiology, University of Belgrade, University Clinical Centre of Serbia, Belgrade, Serbia
6University Paris Cite, Department of Anesthesia-Burn-Critical Care, Université de Paris, UMR Inserm MASCOT; APHP Saint Louis Lariboisière University Hospitals, Paris, France
7Department of Cardiology, Dokuz Eylül University Faculty of Medicine, İzmir, Türkiye
8Department of Cardiology, Volgograd State Medical University, Regional Cardiology Centre, Volgograd, Russia
9Department of Cardiology, Centre for Prognosis Research, Keele University, Stoke-on-Trent, United Kingdom
10Department of Cardiology, National Medical Institute of the Ministry of Internal Affairs and Administration, Warsaw, Poland
11Department of Cardiology, University of Pittsburgh School of Medicine, Pittsburgh, United States of America
12Department of Cardiology, Ibrahim Bin Hamad Obaidallah Hospital, EHS, Ras Al Khaimah, United Arab Emirates
13Department of Cardiology, Baylor College of Medicine, Houston TX, United States of America
14Department of Cardiology, University Clinical Centre of Kosova, Prishtina, Kosovo
15University of Prishtina Faculty of Medicine, Prishtina, Kosovo
16Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
17Department of Cardiology, Division of Electrophysiology, Herz- und Diabeteszentrum NRW, Ruhr-University Bochum, Bad Oeynhausen, Germany
18Department of Cardiology, Division of Invasive Electrophysiology, Acıbadem City Clinic Tokuda University Hospital, Sofia, Bulgaria
19Department of Cardiology, Pitié-Salpêtrière Hospital, Institute of Cardiology, ACTION Study Group, Sorbonne University, Paris, France
20Medical Center of The Ministry of Emergency Situations of Azerbaijan; President of Azerbaijan Society of Cardiology, Baku, Azerbaijan
21Department of Cardiology, Cardiology and Rheumatology Hospital, Sarajevo University Clinical Center, Sarajevo, Bosnia Herzegovina
22Department of Cardiology, New Hospital, Tbilisi, Georgia
23Department of Cardiology, Karolinska Institutet, Stockholm, Sweden
24Heart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden
25Department of Cardiology, Serbian Academy of Sciences and Arts and Faculty of Medicine, University of Belgrade, Belgrade, Serbia
DOI : 10.4274/balkanmedj.galenos.2024.2024-9-98
Pages : 421-441

Abstract

In the recent years, there has been a burgeoning interest in Takotsubo syndrome (TTS), which is renowned as a specific form of reversible myocardial dysfunction. Despite the extensive literature available on TTS, clinicians still face several practical challenges associated with the diagnosis and management of this phenomenon. This potentially results in the underdiagnosis and improper management of TTS in clinical practice. The present paper, the first part (part-1) of the consensus report, aims to cover diagnostic and therapeutic challenges associated with TTS along with certain recommendations to combat these challenges.

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