Stress cardiomyopathy criteria

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Unstable angina/non ST elevation myocardial infarction in Stress (Takotsubo) Cardiomyopathy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Mayo Criteria

Mayo Clinic Criteria for Apical Ballooning Syndrome. All 4 must be present [1]:

  1. Transient hypokinesis, akinesis or dyskinesis of the left ventricular mid-segments with or without apical involvement. The regional wall motion abnormalities extend beyond a single epicardial vascular distribution. A stressful trigger is often, but not always present
  2. Absence of obstructive coronary disease or angiographic evidence of acute plaque rupture.
  3. New electrocardiographic abnormalities (either ST-segment elevation and/or T- wave inversion) or modest elevation in cardiac troponin.
  4. Absence of pheochromocytoma and myocarditis

References

  1. Prasad A (2007). "Apical ballooning syndrome: an important differential diagnosis of acute myocardial infarction". Circulation. 115 (5): e56–9. doi:10.1161/CIRCULATIONAHA.106.669341. PMID 17283269.

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