This is the podcast, ICU rounds.

My name is Dr. Jeffrey Guy.

I'm an associate professor of surgery and director of the Burns Center at the Vanderbilt University School of Medicine at Nashville, Tennessee.

Welcome back to the podcast, IC rounds.

My name's Dr. Jeffrey Guy. I want to talk today about something known as Takasubu's cardiomyopathy. I like the name, and I think it's a really neat disease process that I've seen several times in our intensive care unit, and I hope that you're able to recognize it as well in your intensive care unit.

What Takasubu's cardiomyopathy is, by another name, it's also known as transient left ventricular apical ballooning syndrome. And what it is, is it's basically left ventricular

dysfunction. You'll see some EKG changes that may limit, excuse me, may mimic an acute

myocardial infarction. And you may even see release

of myocardial enzymes that you typically see in something like a coronary artery disease.

Now, the Japanese first described this back in 1991, and they gave the name to it of a Takatsubu's

cardiomyopathy. What it is, is that when you did an echo or you did a cardiac calf,

the appearance of the left ventricle appeared that of a narrow neck and an apical ballooning.

And if you ever seen this on an echo, it's precisely what it looks like.

And so this is the pot that they use in japan

to uh... trap octopus with has a very similar appearance as this

left at a left atricle

and so they gave that name of takasupu's cardiomyopathy

uh... for those of you don't speak japanese and can't remember that name takasubas

there are other names associated with it we

mentioned already,

apical ballooning syndrome. It's also known as ampula cardiomyopathy, again, due to a description

of the wall abnormalities of the apex of the left ventricle. Now, as we said, this was first

...