Publication details

The role of central autonomic nervous system dysfunction in Takotsubo syndrome: a systematic review

Authors

BRÁZDIL Vojtěch KALA Petr HUDEC Martin POLOCZEK Martin KAŇOVSKÝ Jan ŠTÍPAL Roman JERABEK Petr BOČEK Otakar PAIL Martin BRÁZDIL Milan

Year of publication 2022
Type Article in Periodical
Magazine / Source Clinical Autonomic Research
MU Faculty or unit

Faculty of Medicine

Citation
web https://link.springer.com/article/10.1007/s10286-021-00844-z
Doi http://dx.doi.org/10.1007/s10286-021-00844-z
Keywords Takotsubo syndrome; Brain-heart axis; Insular cortex; Amygdala; Brain connectivity
Description Introduction Takotsubo syndrome (TTS), also known as stress cardiomyopathy or "broken heart" syndrome, is a mysterious condition that often mimics an acute myocardial infarction. Both are characterized by left ventricular systolic dysfunction. However, this dysfunction is reversible in the majority of TTS patients. Purpose Recent studies surprisingly demonstrated that TTS, initially perceived as a benign condition, has a long-term prognosis akin to myocardial infarction. Therefore, the health consequences and societal impact of TTS are not trivial. The pathophysiological mechanisms of TTS are not yet completely understood. In the last decade, attention has been increasingly focused on the putative role of the central nervous system in the pathogenesis of TTS. Conclusion In this review, we aim to summarize the state of the art in the field of the brain-heart axis, regional structural and functional brain abnormalities, and connectivity aberrancies in TTS.

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