Cardiogenic shock in takotsubo syndrome: etiology and treatment
Ken Kato, Davide Di Vece, Mari Kitagawa, Kayo Yamamoto, Shuhei Aoki, Hiroki Goto, Hideki Kitahara, Yoshio Kobayashi, Christian Templin
Abstract
Takotsubo syndrome (TTS) can mimic acute coronary syndrome despite being a distinct disease. While typically benign, TTS can lead to serious complications like cardiogenic shock. Cardiogenic shock occurs in 1-20% of TTS cases. Various mechanisms can cause shock, including pump failure, right ventricular involvement, left ventricular outflow tract obstruction, and acute mitral regurgitation. Because treatment depends on the mechanism, early identification of the mechanism developing cardiogenic shock is essential for optimal treatment and improved outcomes in TTS patients with cardiogenic shock. This review summarizes current knowledge on causes and treatment of cardiogenic shock in patients with TTS.