Aim of this prospective study is to assess the pathophysiology of Takotsubo Syndrome by obtaining pressure volume loops with conductance catheters, which allows detailed conclusions regarding systolic and diastolic hemondynamics and subsequently regarding potential underlying mechanisms
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
25
Patients with suspected Takotsubo syndrome (typical ballooning in left ventriculography without significant obstructive coronary artery disease that sufficiently explains the contraction abnormalities) will undergo continuous online measurements of left ventricular pressure and volume using conductance catheters. Cardiac magnetic resonance (CMR) imaging will be performed in patients without contraindications for optimized morphological characterization and exclusion of important differential diagnoses.
Medical clinic II-UKSH
Lübeck, Schleswig-Holstein, Germany
Changes in contractility derived from pressure-volume measurements
systolic/diastolic pressure-volume relationship (mmHg/ml)
Time frame: Day 0
Changes in contractility derived from pressure-volume measurements
peak-power index (mmHG/s)
Time frame: Day 0
Changes in contractility derived from pressure-volume measurements
peak filling rate (ml/s)
Time frame: Day 0
Changes in contractility derived from pressure-volume measurements
stroke work (mmHG x ml)
Time frame: Day 0
Changes in contractility derived from pressure-volume measurements
relaxation constant "Tau" (ms)
Time frame: Day 0
Changes in contractility derived from pressure-volume measurements
time to Emax (ms)
Time frame: Day 0
Changes in contractility derived from pressure-volume measurements
max/min rate of left ventricular pressure change (mmHg/s)
Time frame: Day 0
Energetic parameters derived from pressure-volume measurements
stroke work, potential energy (mmHg x ml)
Time frame: Day 0
Energetic parameters derived from pressure-volume measurements
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total pressure volume area (mmHg/ml)
Time frame: Day 0
Afterload parameters derived from pressure-volume measurements
arterial elastance (mmHg/ml)
Time frame: Day 0
Afterload parameters derived from pressure-volume measurements
ventricular arterial coupling (no dimension)
Time frame: Day 0
Afterload parameters derived from pressure-volume measurements
total arterial compliance (mmHg/ml)
Time frame: Day 0
- Correlation of pressure-volume measurements with morphological and functional findings in CMR imaging
(presence of myocardial edema or late gadolinium enhancement, native T1 time, myocardial strain assessed by CMR feature tracking)
Time frame: Day 3
- Correlation of pressure-volume measurements with biomarker release
(troponin, NT-proBNP)
Time frame: Day 0