ABC | Volume 115, Nº2, August 2020

Short Editorial Caramelli Takotsubo Syndrome? Arq Bras Cardiol. 2020; 115(2):217-218 This is an open-access article distributed under the terms of the Creative Commons Attribution License 1. Wikipedia [internet]. Syndrome [Citado em13maio 2020]. Disponível em: https://en.wikipedia.org/wiki/Syndrome. 2. Almeida Junior GLG, Mansur Filho J, Albuquerque DC, Xavier SS, Pontes A, Gouvêa EP, et al. Takotsubo Multicenter Registry (REMUTA) – Clinical Aspects, In-Hospital Outcomes, and Long-TermMortality. Arq Bras Cardiol. 2020; 115(2):207-216). 3. Lyon AR, Bossone E, Schneider B, Sechtem U, Citro R, Underwood SR, et al. Current state of knowledge on Takotsubo syndrome: a position statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2016;18(1):8-2). 4. Johnson TW, Räber L, Mario C, Bourantas C, Jia H, Mattesini A, et al. Clinical UseofIntracoronaryImaging.Part2:AcuteCoronarySyndromes,Ambiguous CoronaryAngiographyFindings,andGuidingInterventionalDecision-Making: AnExpertConsensusDocumentoftheEuropeanAssociationofPercutaneous Cardiovascular Interventions. Eur Heart J. 2019;40(31):2566-84. 5. Ghadri JR, Wittstein IS, Prasad A, Sharkey S, Dote K, Akashi YJ, et al. International Expert Consensus Document on Takotsubo Syndrome (Part I): clinical characteristics, diagnostic criteria, and pathophysiology. Eur Heart J. 2018;39(22):2032-46. 6. Bratis K. Cardiac magnetic resonance in Takotsubo Syndrome. Eur Cardiol. 2017;12(1):58-62. References Figure 1 – As in the Hebrew version of the story of Jonah in the Bible, Takotsubo must swim faster, get stronger and grow; otherwise, it will be swallowed by the giant fish. Art by Piero de Souza Dias Caramellli. Table 1 – Diagnostic criteria comparison chart between Takotsubo and Acute coronary syndromes Diagnostic criteria Takotsubo Acute coronary syndromes Transient left ventricular dysfunction +++ + Emotional/physical trigger ++ + Neurological disorders as a trigger ++ + New ECG abnormalities ++ +++ Elevated cardiac biomarkers + +++ Discard infection myocarditis + + More frequent in postmenopausal women + - Significant coronary artery disease + +++ 218