Heart HQ – Episode 9: Takotsubo and Perioperative Risk Assessment
In this week’s episode we discuss Takotsubo Cardiomyopathy and Perioperative Risk Assessment.
Takotsubo Cardiomyopathy often occurs after severe emotional or physical stress. It is so-called because it causes the left ventricle to balloon out and resemble the shape of pots the Japanese use to catch octopus.
They also list the top 5 things to consider when carrying out a Perioperative Risk Assessment.
Show notes: Episode 9
Here is an echo of a patient with Takotsubo Cardiomyopathy:
Further reading on LITFL
Further reading on Takotsubo Cardiomyopathy
- Virani SS, Khan AN, Mendoza CE, Ferreira AC, de Marchena E. Takotsubo cardiomyopathy, or broken-heart syndrome. Tex Heart Inst J. 2007;34(1):76-79.
- Akashi YJ, Goldstein DS, Barbaro G, Ueyama T. Takotsubo cardiomyopathy: a new form of acute, reversible heart failure. Circulation. 2008;118(25):2754-2762
- Abdulla I, Ward MR. Tako-tsubo cardiomyopathy: how stress can mimic acute coronary occlusion. Med J Aust. 2007;187(6):357-360.
- Banning et al. Takotsubo cardiomyopathy BMJ 2010;340:c1272.
- Komamura et al. Takotsubo cardiomyopathy: Pathophysiology, diagnosis and treatment. World J Cardiol. 2014 Jul 26; 6(7):602-609
- Geisen WR, Rosse C, Menon S, Rudick S. Trump Cardiomyopathy: A New Form of Takotsubo Cardiomyopathy J Card Fail. 2020
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MBBS (Hons) FRACP FCSANZ. Peter is a clinical and interventional cardiologist with various special interests including coronary angioplasty and stenting, endovascular procedures and structural heart interventions. He studied and trained in Queensland and completed a Fellowship in Interventional Cardiology and Vascular Diagnosis in Boston, MA.
Peter returned home to become Director of Cardiology at Sunshine Coast Hospital, before becoming a founding partner and managing director of HeartHQ
BSc (Hons) MBBS FRACP FCSANZ. Stuart is an interventional cardiologist and structural heart specialist. He has a special interest in treating complex and previously untreatable coronary artery disease, and a passion for distal radial artery access for coronary angiography and stenting.
After completing his training in Brisbane and Perth with an interventional cardiology fellowship, he returned to paradise to take up cardiology consulting at various local hospitals and now is a director of HeartHQ.