Cardiomiopatia de Takotsubo da patogênese ao diagnóstico: estado da arte
DOI:
https://doi.org/10.11606/issn.1679-9836.v99i5p491-502Palavras-chave:
Disfunção Ventricular, Disfunção Ventricular Esquerda, Infarto agudo do miocárdio, Cardiomiopatia de TakotsuboResumo
A cardiomiopatia de Takotsubo (CMT) apresenta-se, normalmente, por hipocinesia, discinesia ou acinesia transitória do ápice do ventrículo esquerdo, com duração de até quatro semanas, desencadeada por estresse físico ou emocional. Com maior incidência entre mulheres pós-menopausa, consiste em uma síndrome clínica confundida com infarto agudo do miocárdio (IAM), devido aos achados clínicos e laboratoriais em comum. A cada 100 diagnósticos feitos de síndrome coronariana aguda, cerca de 2 tratam-se da CMT. Apesar de ter sido descrita em 1990 e exigir terapêutica distinta, ainda não há consenso internacional no que se refere aos critérios diagnósticos. Este artigo busca revisar as publicações dos últimos 30 anos sobre o tema em relação a epidemiologia, patogênese, manifestações clínicas, achados laboratoriais, critérios e métodos diagnósticos, enumerando medidas que permitam diferenciar IAM de CMT na prática clínica.
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Copyright (c) 2020 Josué da Silva Brito, Marcela Silveira Castro, Pâmela da Silva Zambianco, Michelly Rodrigues Cavalcante, Victória Araújo Silva, Nicolli Bellotti de Souza, Lu´célia Rita Gaudino Caputo
Este trabalho está licenciado sob uma licença Creative Commons Attribution-ShareAlike 4.0 International License.
