Author/Editor		Starc, Radovan; Starc-Telič, Saša
Title		Stresna kardiomiopatija
Translated title		Stress cardiomyopathy
Type		članek
Source		Slov Kardiol
Vol. and No.		Letnik 3, št. 1
Publication year		2006
Volume		str. 40-3
Language		slo
Abstract		The syndrome of stress cardiomyopathy is a novel urgent cardiac syndrome consisting of emotional stress followed by sudden chest pain, ECG changes (mimicking acute myocardial infarction), minimal myocardial enzymatic release, normal coronary angiogram with the most important feature being acute, reversible, transiently stunned myocardium (cardiomyopathy) with a very good prognosis. The left ventricle is pathognomonically shaped with a hyperkinetic narrow neck and an akinetic round-base flask shape with transiently severely impaired left ventricular systolic function. Because of the left ventricular shape, this syndrome has many different technical names (Takotsubo cardiomyopathy, syndrome of apical ballooning), while the media stress folk observation of cardiac death after emotional stress in broken-heart syndrome.
Summary		Sindrom stresne kardiomiopatije je nov urgentni srčni sindrom, ki sestoji iz čustvenega stresa, ki mu sledijo nenadna prsna bolečina, spremembe v EKG (posnemajo akutni srčni infarkt), blag porast označevalcev nekroze srčne mišice, (skoraj) normalen izvid koronarografije in - kar je najpomembnejše -, akutna, reverzibilna omamljenost srčne mišice (kardiomiopatija) z zelo dobro prognozo. Levi prekat je značilno oblikovan s hiperkinetičnim ozkim vratom in akinetičnim srednjim delom in konico levega prekata, medtem ko je sistolična funkcija prehodno hudo oslabljena. Glede na obliko levega prekata ima sindrom tudi druge tehnične nazive (kardiomiopatija Takotsubo, sindrom napihovanja srčne konice), medtem ko so mediji uporabili naziv, ki je strnil ljudsko modrost v sindrom strtega srca.
Descriptors		STRESS, PSYCHOLOGICAL ANGINA PECTORIS ELECTROCARDIOGRAPHY MYOCARDIAL STUNNING ECHOCARDIOGRAPHY