Skip to main content
SpringerLink
Log in

La vulnerabilità cardiaca della donna agli stressor acuti: La sindrome Tako-tsubo

  • Chapter
Stress e disturbi da somatizzazione

  • 1121 Accesses

Riassunto

L’interazione tra attivazione autonomica e rischio cardiovascolare è nota e sostenuta da un’ampia letteratura scientifica. In particolare, l’attivazione simpatica gioca un ruolo determinante nel facilitare l’insorgenza di aritmie maligne nel miocardio ischemico [1]. La conseguenza e riprova di questa fondamentale nozione di fisiopatologia è il fatto che gli unici interventi efficaci nel ridurre il rischio di morte aritmica dopo infarto miocardico e in pazienti con disfunzione ventricolare sinistra sono i farmaci che bloccano i recettori beta-adrenergici e i farmaci inibitori l’enzima di conversione dell’angiotensina (ACE inibitori) [2]. In altre parole, l’intervento farmacologico che modula la risposta neuroumorale all’ischemia miocardica è l’unico in grado di migliorare la prognosi di pazienti destinati altrimenti a morire a causa di eventi aritmici. Controparte di tale nozione è il forte potere predittivo positivo degli indici autonomici derivati dall’analisi del controllo riflesso della frequenza cardiaca, vale a dire la sensibilità barocettiva e la variabilità della frequenza cardiaca

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 44.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliografia

  1. Schwartz PJ, La Rovere MT, Vanoli E (1992) Autonomic nervous system and sudden cardiac death. Circulation 85(Suppl. I)

    Google Scholar 

  2. Dickstein K, Cohen-Solal A, Filippatos G, Mcmurray JJ et al (2008) ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur J Heart Fail 10:933–89

    Article  PubMed  Google Scholar 

  3. La Rovere MT, MT, Bigger JT Jr, Marcus FI et al (1998) Baroreflex sensitivity and heart-rate variability in prediction of total cardiac mortality after myocardial infarction. ATRAMI (Autonomic Tone and Reflexes After Myocardial Infarction) Investigators. Lancet 351:478–84

    Article  PubMed  Google Scholar 

  4. De Ferrari GM, Schwartz PJ. Vagus nerve stimulation: from pre-clinical to clinical application: Challenges and future directions. Heart Fail Rev 16:195–203.

    Google Scholar 

  5. Vanoli E, De Ferrari GM, Stramba-Badiale M et al (1991) Vagal stimulation and prevention of sudden death in conscious dogs with a healed myocardial infarction. Circ Res 68:1471–1481

    Article  PubMed  Google Scholar 

  6. Govoni S, Pascale A, Amadio M et al (2011) NGF and heart: Is there a role in heart disease? Pharmacol Res 63:266–277

    Article  PubMed  Google Scholar 

  7. Kuo BT, Choubey R, Novaro GM (2010) Reduced estrogen in menopause may predispose women to takotsubo cardiomyopathy. Gend Med 7:71–7

    Article  PubMed  Google Scholar 

  8. Barton DA, Dawood T, Lambert EA et al (2007) Sympathetic activity in major depressive disorder: identifying those at increased cardiac risk? J Hypertens 25:2117–2124

    Article  PubMed  Google Scholar 

  9. Baumgartner H, Bonhoeffer P, De Groot NM et al (2010) ESC Guidelines for the management of grown-up congenital heart disease (new version 2010). Eur Heart J 31:2915–2957

    Article  PubMed  Google Scholar 

  10. Brass M, Derrfuss J, von Cramon DY (2005) The inhibition of imitative and overlearned responses: a functional double dissociation. Neuropsychologia, 43:89–98

    Article  PubMed  Google Scholar 

  11. Buchsbaum BR, Greer S, Chang WL, Berman KF (2005) Meta-analysis of neuroimaging studies of the Wisconsin card-sorting task and component processes. Hum Brain Mapp 25:35–45

    Article  PubMed  Google Scholar 

  12. Buja P, Zuin G, Di Pede F, Madalosso M et al (2008) Long-term outcome and sex distribution across ages of left ventricular apical ballooning syndrome. J Cardiovasc Med (Hagerstown), 9:905–909

    Article  Google Scholar 

  13. Campbell-Sills L, Barlow DH, Brown TA, Hofmann SG (2006) Acceptability and suppression of negative emotion in anxiety and mood disorders. Emotion 6:587–595

    Article  PubMed  Google Scholar 

  14. Campbell-Sills L, Barlow DH, Brown TA, Hofmann SG (2006). Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders. Behav Res Ther 44:1251–1263

    Article  PubMed  Google Scholar 

  15. Cevik C, Nugent K (2008) The role of cardiac autonomic control in the pathogenesis of Tako-tsubo cardiomyopathy. Am Heart J 156, e31

    Article  Google Scholar 

  16. Chida Y, Hamer M (2008) Chronic psychosocial factors and acute physiological responses to laboratory-induced stress in healthy populations: a quantitative review of 30 years of investigations. Psychol Bull 134:829–885

    Article  PubMed  Google Scholar 

  17. Critchley HD, Taggart P, Sutton PM et al. (2005) Mental stress and sudden cardiac death: asymmetric midbrain activity as a linking mechanism. Brain, 128(Pt 1):75–85

    PubMed  Google Scholar 

  18. Del Pace S, Parodi G, Bellandi B et al (2011) Anxiety trait in patients with stress-induced cardiomyopathy: a case-control study. Clin Res Cardiol DOI: 10.1007/s00392-00010-00276-x

    Google Scholar 

  19. Demaree HA, Schmeichel BJ, Robinson JL et al (2006) Up-and down-regulating facial disgust: affective, vagal, sympathetic, and respiratory consequences. Biol Psychol 71:90–99

    Article  PubMed  Google Scholar 

  20. Denollet J (2000) Type D personality. A potential risk factor refined. J Psychosom Res 49:255–266

    Article  PubMed  Google Scholar 

  21. Denollet J, De Potter B (1992) Coping subtypes for men with coronary heart disease: relationship to well-being, stress and Type-A behaviour. Psychol Med 22:667–684

    Article  PubMed  Google Scholar 

  22. Denollet J, Kupper N (2007) Type-D personality, depression, and cardiac prognosis: cortisol dysregulation as a mediating mechanism. J Psychosom Res 62:607–609

    Article  PubMed  Google Scholar 

  23. Denollet J, Sys SU, Stroobant N et al (1996) Personality as independent predictor of long-term mortality in patients with coronary heart disease. Lancet 347:417–421

    Article  PubMed  Google Scholar 

  24. Denollet J, Van Heck GL (2001) Psychological risk factors in heart disease: what Type D personality is (not) about. J Psychosom Res 51:465–468

    Article  PubMed  Google Scholar 

  25. Elesber AA, Prasad A, Bybee KA et al (2006) Transient cardiac apical ballooning syndrome: prevalence and clinical implications of right ventricular involvement. J Am Coll Cardiol 47:1082–1083

    Article  PubMed  Google Scholar 

  26. Elesber AA, Prasad A, Lennon RJ et al (2007) Four-year recurrence rate and prognosis of the apical ballooning syndrome. J Am Coll Cardiol 50:448–452

    Article  PubMed  Google Scholar 

  27. Elliott R, Deakin B (2005) Role of the orbitofrontal cortex in reinforcement processing and inhibitory control: evidence from functional magnetic resonance imaging studies in healthy human subjects. Int Rev Neurobiol 65:89–116

    Article  PubMed  Google Scholar 

  28. Eshtehardi P, Koestner SC, Adorjan P et al. (2009). Transient apical ballooning syndrome — clinical characteristics, ballooning pattern, and long-term follow-up in a Swiss population. Int J Cardiol 135:370–375

    Article  PubMed  Google Scholar 

  29. Garavan H, Hester R, Murphy K et al (2006) Individual differences in the functional neuroanatomy of inhibitory control. Brain Res 1105:130–142

    Article  PubMed  Google Scholar 

  30. Gianni M, Dentali F, Grandi AM et al (2006). Apical ballooning syndrome or Tako-tsubo cardiomyopathy: a systematic review. Eur Heart J 27:1523–1529

    Article  PubMed  Google Scholar 

  31. Grandey AA (2000) Emotion regulation in the workplace: a new way to conceptualize emotional labor. J Occup Health Psychol 5:95–110

    Article  PubMed  Google Scholar 

  32. Gross JJ (2002) Emotion regulation: affective, cognitive, and social consequences. Psychophysiology 39:281–291

    Article  PubMed  Google Scholar 

  33. Gross JJ (2007) The handbook of emotion regulation. Guilford Press, NewYork

    Google Scholar 

  34. Gross JJ, John OP (2003) Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. J Pers Soc Psychol 85:348–362

    Article  PubMed  Google Scholar 

  35. Gross JJ, Levenson RW (1993). Emotional suppression: physiology, self-report, and expressive behavior. J Pers Soc Psychol 64:970–986

    Article  PubMed  Google Scholar 

  36. Gross JJ, Levenson RW (1997). Hiding feelings: the acute effects of inhibiting negative and positive emotion. J Abnorm Psychol 106:95–103

    Article  PubMed  Google Scholar 

  37. Gross JJ, Thompson RA (2007) Emotion regulation. In: Gross JJ (ed), Handbook of emotion regulation. Guilford Press. New York

    Google Scholar 

  38. Habra ME, Linden W, Anderson JC, Weinberg J (2003). Type D personality is related to cardiovascular and neuroendocrine reactivity to acute stress. J Psychosom Res 55:235–245

    Article  PubMed  Google Scholar 

  39. Hoyt J, Lerman A, Lennon RJ et al (2010) Left anterior descending artery length and coronary atherosclerosis in apical ballooning syndrome (Tako-tsubo/stress induced cardiomyopathy). Int J Cardiol 145:112–115

    Article  PubMed  Google Scholar 

  40. Hurst RT, Askew JW, Reuss CS et al (2006) Transient midventricular ballooning syndrome: a new variant. J Am Coll Cardiol 48:579–583

    Article  PubMed  Google Scholar 

  41. Kashdan TB, Barrios V, Forsyth JP, Steger MF (2006) Experiential avoidance as a generalized psychological vulnerability: comparisons with coping and emotion regulation strategies. Behav Res Ther 44:1301–1320

    Article  PubMed  Google Scholar 

  42. Kashdan TB, Steger MF (2006) Expanding the topography of social anxiety. An experiencesampling assessment of positive emotions, positive events, and emotion suppression. Psychol Sci 17:120–128

    Article  PubMed  Google Scholar 

  43. Kawai S, Kitabatake A, Tomoike H (2007) Guidelines for diagnosis of Tako-tsubo (ampulla) cardiomyopathy. Circ J 71:990–992

    Article  PubMed  Google Scholar 

  44. Kelly AM, Hester R, Murphy K et al (2004) Prefrontal-subcortical dissociations underlying inhibitory control revealed by event-related fMRI. Eur J Neurosci 19:3105–3112

    Article  PubMed  Google Scholar 

  45. Kitaoka T, Ogawa Y, Kato J et al (2006) Tako-tsubo-like left ventricular dysfunction with delayed recovery of left ventricular shape: a case report. J Cardiol 47:197–205

    PubMed  Google Scholar 

  46. Kurowski V, Kaiser A, von Hof K et al (2007) Apical and midventricular transient left ventricular dysfunction syndrome (tako-tsubo cardiomyopathy): frequency, mechanisms, and prognosis. Chest 132:809–816bl]Literatur

    Article  PubMed  Google Scholar 

  47. Li CS, Huang C, Constable RT, Sinha R (2006). Imaging response inhibition in a stop-signal task: neural correlates independent of signal monitoring and post-response processing. J Neurosci 26:186–192

    Article  PubMed  Google Scholar 

  48. Mayer SA, Lin J, Homma S et al (1999) Myocardial injury and left ventricular performance after subarachnoid hemorrhage. Stroke 30:780–786

    Article  PubMed  Google Scholar 

  49. Mennin DS (2006) Emotion regulation therapy: an integrative approach to treatment-resistant anxiety disorders. Journal of Contemporary Psychotherapy, 36:95–105

    Article  Google Scholar 

  50. Moore SA, Zoellner LA, Mollenholt N (2008) Are expressive suppression and cognitive reappraisal associated with stress-related symptoms? Behav Res Ther 46:993–1000

    Article  PubMed  Google Scholar 

  51. Mudd JO, Kapur NK, Champion HC, Schulman SP, Wittstein IS (2007) Patients with stressinduced (Tako-tsubo) cardiomyopathy have an increased prevalence of mood disorders and antidepressant use compared to patients with acute myocardial infarction. Journal of Cardiac Failure 13(Suppl 2):S176

    Article  Google Scholar 

  52. Nef HM, Mollmann H, Troidl C et al (2008). Expression profiling of cardiac genes in Tako-Tsubo cardiomyopathy: insight into a new cardiac entity. J Mol Cell Cardiol 44:395–404

    Article  PubMed  Google Scholar 

  53. Novo S, Akashi Y, Arbustini E et al (2008) Tako-tsubo cardiomyopathy: a consensus document. G Ital Cardiol (Rome) 9:785–797

    Google Scholar 

  54. Ogura R, Hiasa Y, Takahashi T et al. (2003). Specific findings of the standard 12-lead ECG in patients with ‘Tako-tsubo” cardiomyopathy: comparison with the findings of acute anterior myocardial infarction. Circ J 67(8):687–690

    Article  PubMed  Google Scholar 

  55. Parodi G, Del Pace S, Carrabba N et al (2007) Incidence, clinical findings, and outcome of women with left ventricular apical ballooning syndrome. Am J Cardiol 99:182–185

    Article  PubMed  Google Scholar 

  56. Parodi G, Del Pace, S., Salvadori C et al (2007). Left ventricular apical ballooning syndrome as a novel cause of acute mitral regurgitation. J Am Coll Cardiol 50:647–649

    Article  PubMed  Google Scholar 

  57. Pedersen SS, Denollet J (2003) Type D personality, cardiac events, and impaired quality of life: a review. Eur J Cardiovasc Prev Rehabil 10:241–248

    Article  PubMed  Google Scholar 

  58. Pedersen SS, Denollet J. (2004). Validity of the Type D personality construct in Danish post-MI patients and healthy controls. J Psychosom Res, 57:265–272

    Article  PubMed  Google Scholar 

  59. Pedersen SS, van Domburg RT, Theuns DA et al (2004) Type D personality is associated with increased anxiety and depressive symptoms in patients with an implantable cardioverter defibrillator and their partners. Psychosom Med 66: 714–719

    Article  PubMed  Google Scholar 

  60. Pilgrim TM, Wyss TR (2008) Tako-tsubo cardiomyopathy or transient left ventricular apical ballooning syndrome: A systematic review. Int J Cardiol 124: 283–292

    Article  PubMed  Google Scholar 

  61. Prasad A, Lerman A, Rihal CS (2008) Apical ballooning syndrome (Tako-Tsubo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J 155:408–417

    Article  PubMed  Google Scholar 

  62. Previtali M, Repetto A, Panigada S et al (2008) Left ventricular apical ballooning syndrome: Prevalence, clinical characteristics and pathogenetic mechanisms in a European population. Int J Cardiol. CE

    Google Scholar 

  63. Regnante RA, Zuzek RW, Weinsier SB et al (2009). Clinical characteristics and four-year out comes of patients in the Rhode Island Tako-tsubo Cardiomyopathy Registry. Am J Cardiol 103:1015–1019

    Article  PubMed  Google Scholar 

  64. Reuss CS, Lester SJ, Hurst RT et al (2007) Isolated left ventricular basal ballooning phenotype of transient cardiomyopathy in young women. Am J Cardiol 99:1451–1453

    Article  PubMed  Google Scholar 

  65. Roberts NA, Levenson RW, Gross JJ (2008) Cardiovascular costs of emotion suppression cross ethnic lines. Int J Psychophysiol 70:82–87

    Article  PubMed  Google Scholar 

  66. Rubia K, Smith AB, Brammer MJ, Taylor E (2003) Right inferior prefrontal cortex mediates response inhibition while mesial prefrontal cortex is responsible for error detection. Neuroimage 20:351–358

    Article  PubMed  Google Scholar 

  67. Satoh H, Tateishi H Uchida, T et al (1990). Tako-tsubo-type cardiomyopathy due to multivessel spasm. In: Kodama K, Haze K, Hon H (eds.), Clinical aspect of myocardial injury, from ischemia to heart failure (in Japanese), pp 56–64. Kagakuhyouronsya, Tokyo

    Google Scholar 

  68. Sharkey SW, Lesser JR, Menon M et al (2008) Spectrum and significance of electrocardiographic patterns, troponin levels, and thrombolysis in myocardial infarction frame count in patients with stress (tako-tsubo) cardiomyopathy and comparison to those in patients with STelevation anterior wall myocardial infarction. Am J Cardiol 101:1723–1728

    Article  PubMed  Google Scholar 

  69. Sharkey SW, Windenburg DC, Lesser JR et al (2010) Natural history and expansive clinical profile of stress (tako-tsubo) cardiomyopathy. J Am Coll Cardiol 55:333–341

    Article  PubMed  Google Scholar 

  70. Sher L (2005) Type D personality: the heart, stress, and cortisol. Qjm 98:323–329

    Article  PubMed  Google Scholar 

  71. Siegel JA, Stabin MG, Sharkey RM (...CE) Renal dosimetry in peptide radionuclide receptor therapy. Cancer Biother Radiopharm 25:581–588

    Google Scholar 

  72. Singh NK, Rumman S, Mikell FL et al (2010) Stress cardiomyopathy: Clinical and ventriculographic characteristics in 107 North American subjects. Int J Cardiol 141:297–303

    Article  PubMed  Google Scholar 

  73. Spindler H, Kruse C, Zwisler AD, Pedersen SS (2009) Increased anxiety and depression in Danish cardiac patients with a type D personality: cross-validation of the Type D Scale (DS14). Int J Behav Med 16:98–107

    Article  PubMed  Google Scholar 

  74. Spindler H, Pedersen SS, Serruys PW et al (2007) Type-D personality predicts chronic anxiety following percutaneous coronary intervention in the drug-eluting stent era. J Affect Disord 99:173–179

    Article  PubMed  Google Scholar 

  75. Strunk B, Shaw RE, Bull S et al (2006) High incidence of focal left ventricular wall motion abnormalities and normal coronary arteries in patients with myocardial infarctions presenting to a community hospital. J Invasive Cardiol, 18:376–381

    PubMed  Google Scholar 

  76. Tsuchihashi K, Ueshima K, Uchida T et al (2001) Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction. Angina Pectoris-Myocardial Infarction Investigations in Japan. J Am Coll Cardiol 38:11–18

    Article  PubMed  Google Scholar 

  77. Tully PJ, Baker RA, Winefield HR, Turnbull DA (2010) Depression, anxiety disorders and Type D personality as risk factors for delirium after cardiac surgery. Aust N Z J Psychiatry 44:1005–1011

    PubMed  Google Scholar 

  78. Vollm B, Richardson P, McKie S et al (2006) Serotonergic modulation of neuronal responses to behavioural inhibition and reinforcing stimuli: an fMRI study in healthy volunteers. Eur J Neurosci 23:552–560

    Article  Google Scholar 

  79. Wedekind H, Moller K, Scholz KH (2006) Tako-tsubo cardiomyopathy. Incidence in patients with acute coronary syndrome. Herz 31:339–346

    Article  PubMed  Google Scholar 

  80. Winchester DE, Ragosta M, Taylor AM (2008). Concurrence of angiographic coronary artery disease in patients with apical ballooning syndrome (tako-tsubo cardiomyopathy). Catheter Cardiovasc Interv 72:612–616

    Article  PubMed  Google Scholar 

  81. Wittstein IS, Thiemann DR, Lima JA et al (2005). Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med 352:539–548

    Article  PubMed  Google Scholar 

  82. Wittstein J, Moorman CT 3rd, Levin LS (2008) Endoscopic compartment release for chronic exertional compartment syndrome. J Surg Orthop Adv 17:119–121

    PubMed  Google Scholar 

  83. Yaghoubi AR, Ansarin K, Hashemzadeh S et al (2009) Tako-tsubo cardiomyopathy induced by emotional stress leading to severe mitral regurgitation, cardiogenic shock and cardiopulmonary arrest. Int J Cardiol, 135:85–86

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Dipartimento di Scienze della Persona, Università degli Studi di Bergamo, Italia

    Angelo Compare (Psicologo specialista in Psicoterapia, Professore presso il Corso di Laurea in Psicologia)

  2. l’Università IULM, Milano, Italia

    Enzo Grossi (Medico Chirurgo, Gastroenterologo Docente, Advisor Scientifico della Fondazione Bracco e del Centro Diagnostico Italiano, Milano)

  3. Dipartimento di Medicina Molecolare, Università di Pavia Clinica San Gaudenzio, Novara, Italia

    Emilio Vanoli

  4. Centro Diagnostico Italiano, Milano, Italia, Novara, Italia

    Elena Germani (Psicologa)

  5. Azienda ULSS 7 di Conegliano (TV), Italia

    Simona Carniato (Psicologa e psicoterapeuta Psicologia della Salute)

  6. Fondazione IRCCS Istituto Neurologico Besta, Milano, Italia

    Venusia Covelli (Specialista in Psicoterapia della salute) & Matilde Leonardi (Dirigente Medico, Neurologo, Pediatra Direzione Scientifica, Responsabile Ricerca “Disabilità”)

Authors
  1. Angelo Compare
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Enzo Grossi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Emilio Vanoli
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Elena Germani
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Simona Carniato
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Venusia Covelli
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Matilde Leonardi
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Italia

About this chapter

Cite this chapter

Compare, A. et al. (2012). La vulnerabilità cardiaca della donna agli stressor acuti: La sindrome Tako-tsubo. In: Stress e disturbi da somatizzazione. Springer, Milano. https://doi.org/10.1007/978-88-470-2080-1_16

Download citation

Publish with us

Policies and ethics

Search

Navigation