Journal of the American Society of Echocardiography
Volume 21, Issue 1 , Pages 72-77 , January 2008

The Coronary Flow Reserve Is Transiently Impaired in Tako-Tsubo Cardiomyopathy: A Prospective Study Using Serial Doppler Transthoracic Echocardiography

  • Patrick Meimoun, MD

      Affiliations

    • Department of Cardiology and Intensive Care Unit, Compiègne Hospital, Compiègne, France
    • Corresponding Author InformationReprint requests: Patrick Meimoun, MD, Department of Cardiology and Intensive Care Unit, Centre Hospitalier de Compiègne, 8 rue Henri Adnot, 60200 Compiègne, France.
    • ,
  • Dorothée Malaquin, MD

      Affiliations

    • Department of Cardiology and Intensive Care Unit, Compiègne Hospital, Compiègne, France
    • ,
  • Smain Sayah, MD

      Affiliations

    • Department of Cardiology and Intensive Care Unit, Compiègne Hospital, Compiègne, France
    • ,
  • Tahar Benali, MD

      Affiliations

    • Department of Cardiology and Intensive Care Unit, Compiègne Hospital, Compiègne, France
    • ,
  • Anne Luycx-Bore, MD

      Affiliations

    • Department of Cardiology and Intensive Care Unit, Compiègne Hospital, Compiègne, France
    • ,
  • Franck Levy, MD

      Affiliations

    • Department of Cardiovascular Disease, INSERM, ERI-12, CHU Amiens, Amiens, France.
    • ,
  • Hamdane Zemir, MD

      Affiliations

    • Department of Cardiology and Intensive Care Unit, Compiègne Hospital, Compiègne, France
    • ,
  • Christophe Tribouilloy, MD, PhD

      Affiliations

    • Department of Cardiovascular Disease, INSERM, ERI-12, CHU Amiens, Amiens, France.

References 

  1. Dote K, Sato H, Tateishi H, Uchida T, Ishihara M. Myocardial stunning due to simultaneous multivessel coronary spasm: a review of 5 cases. J Cardiol. 1991;21:203–214
  2. Tsutchihashi K, Ueshima K, Uchida T, Oh-mura N, Kimura K, Owa M, et al. Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction. J Am Coll Cardiol. 2001;38:11–18
  3. Kurisu S, Sato H, Kawagoe T, Ishihara M, Shimatani Y, Nishioka K, et al. Tako-tsubo-like left ventricular dysfunction with ST-segment elevation: a novel cardiac syndrome mimicking acute myocardial infarction. Am Heart J. 2002;143:448–455
  4. Abe Y, Kondo M, Matsuoka R, Araki M, Dohyama K, Tanio H. Assessment of clinical features in transient left ventricular apical ballooning. J Am Coll Cardiol. 2003;41:737–742
  5. Sharkey SW, Lesser JR, Zenovich AG, Maron MS, Lindberg J, Longe TF, et al. Acute and reversible cardiomyopathy provoked by stress in women from the United States. Circulation. 2005;111:472–479
  6. Wittstein IS, Thiemann DR, Lima JAC, Baumghman KL, Schulman SP, Gerestenblith G, et al. Neurohormonal features of myocardial stunning due to sudden emotional stress. N Engl J Med. 2005;352:539–548
  7. Desmet WJR, Adriaenssens BFM, Dens JAY. Apical ballooning of the left ventricle: first series in white patients. Heart. 2003;89:1027–1031
  8. Bybee KA, Kara T, Prasad A, Lerman A, Barsness GW, Wright S. Systematic review: transient left ventricular apical ballooning: a syndrome that mimic ST-segment elevation myocardial infarction. Ann Intern Med. 2004;141:858–865
  9. Gianni M, Dentali F, Grandi AM, Sumner G, Hiralal R, Lonn E. Apical ballooning syndrome or takotsubo cardiomyopathy: a systematic review. Eur Heart J. 2006;27:1523–1529
  10. Bybee KA, Prasad A, Barsness GW, Lerman A, Jaffe AS, Murphy JG, et al. Clinical characteristics and thrombolysis in myocardial infarction frame count in women with transient left ventricular apical ballooning syndrome. Am J Cardiol. 2004;94:343–346
  11. Kume T, Akasaka T, Kawamoto T, Yoshitani H, Watanabe N, Neishi Y, et al. Assessment of coronary microcirculation in patients with takotsubo-like left ventricular dysfunction. Circ J. 2005;69:934–939
  12. Kurisu S, Inoue I, Kawagoe T, Ishihara M, Shimatani Y, Nishioka K, et al. Myocardial perfusion and fatty acid metabolism in patients with tako-tsubo like left ventricular dysfunction. J Am Coll Cardiol. 2003;41:743–748
  13. Ito K, Sugihara H, Kinoshita N, Azuma A, Matsubara H. Assessment of Takotsubo (ampulla) cardiomyopathy using 99mTc-tetrofosmin, 123 I-BMIPP, 123 I-MIBG, and 99mTc-PYP myocardial SPECT. Ann Nucl Med. 2005;19:435–445
  14. Ako J, Takenaka K, Uno K, Nakamura F, Shoji T, Iijima K, et al. Reversible left ventricular systolic dysfunction: reversibility of coronary microvascular abnormality. Jpn Heart J. 2001;42:355–363
  15. Upadya SP, Hoq SM, Pannala R, Alsous F, Tuohy E, Zarich S. Tako tsubo cardiomyopathy (transient left ventricular apical ballooning): case report of a myocardial perfusion echocardiogram study. J Am Soc Echocardiogr. 2005;18:883
  16. Ramakrishna G, Ravi BS, Chandrasekaran K. Apical ballooning syndrome in a postoperative patient with normal microvascular perfusion by myocardial contrast echocardiography. Echocardiography. 2005;22:606–610
  17. Citro R, Galderisi M, Maione AG, Inneli P, Provenza G, Gregorio G. Sequential transthoracic ultrasound assessment of coronary flow reserve in a patient with Tako-tsubo syndrome. J Am Soc Echocardiogr. 2006;19:1402e5-8
  18. Hozumi T, Yoshida K, Akasaka T, Asami Y, Ogata Y, Takagi T, et al. Non invasive assessment of coronary flow velocity and coronary flow velocity reserve in the left anterior descending coronary artery by Doppler echocardiography: comparison with invasive technique. J Am Coll Cardiol. 1998;32:1251–1260
  19. Caiati C, Montaldo C, Zedda N, Montisci R, Ruscazio M, Lai G, et al. New non invasive method for coronary flow reserve assessment: contrast-enhanced transthoracic second harmonic echo Doppler. Circulation. 1999;99:771–778
  20. Meimoun P, Sayah S, Tcheuffa JC, Benali T, Luycx-Bore A, Levy F, et al. Transthoracic coronary flow velocity reserve assessment: comparison between dobutamine and adenosine. J Am Soc Echocardiograph. 2006;19:1220–1228
  21. Dimitrov PP, Galderisi M, Rigo F. The non-invasive documentation of coronary microcirculation impairment: role of transthoracic echocardiography. Cardiovasc Ultrasound. 2005;3:18
  22. Meimoun P, Benali T, Sayah S, Luycx-Bore A, Boulanger J, Zemir H, et al. Evaluation of left anterior descending coronary artery stenosis of intermediate severity using transthoracic coronary flow reserve and dobutamine stress echocardiography. J Am Soc Echocardiogr. 2005;12:1233–1240
  23. Kern MJ. Coronary physiology revisited: practical insights from the cardiac catheterization laboratory. Circulation. 2000;101:1344–1351
  24. Shiller NB, Shah PM, Crawford M, DeMaria A, Devereux R, Feigenbaum H, et al. Recommendation for quantitation of the left ventricle by two-dimensional echocardiography: American Society of Echocardiography committee on standards subcommittee on quantitation of two-dimensional echocardiograms. J Am Soc Echocardiogr. 1989;2:358–367
  25. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurements. Lancet. 1986;99:771–778
  26. Sudhir K, MacGregor JS, Barbant SD, Foster E, Fitzgerald PJ, Chaterjee K, et al. Assessment of coronary conductance and resistance vessel reactivity in response to nitroglycerin, ergonovine, and adenosine: in vivo studies with simultaneous intravascular two-dimensional and Doppler ultrasound. J Am Coll Cardiol. 1993;21:1261–1268
  27. McGinn AL, White CW, Wilson RF. Interstudy variability of coronary flow reserve (Influence of heart rate, arterial pressure, and ventricular preload). Circulation. 1990;81:1319–1330

PII: S0894-7317(07)00397-5

doi: 10.1016/j.echo.2007.05.024

Journal of the American Society of Echocardiography
Volume 21, Issue 1 , Pages 72-77 , January 2008

Article Tools

* Image Usage & Resolution