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July 1, 2026LifeOpen Access

Coronary microvascular dysfunction and inflammation drive Takotsubo syndrome pathophysiology and are evaluable via advanced imaging.

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Population

Patients with Takotsubo syndrome (stress cardiomyopathy)

Design

Review

Key result

Coronary microvascular dysfunction and inflammation play a central role in the pathophysiology of Takotsubo syndrome and can be evaluated using advanced imaging and invasive hemodynamic techniques.

Authors

GPGiorgio PiccolboniGCGiovanni CivieriFTFrancesco Tona

Discussion

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Overview

Supports microvascular-targeted research in Takotsubo syndrome; leaves open whether advanced imaging changes management or outcomes.

Key Points

  • The aim is to provide an up-to-date overview of coronary microvascular dysfunction in Takotsubo syndrome and its clinical implications.
  • Review of clinical and experimental data on Takotsubo syndrome and coronary microvascular dysfunction.
  • Utilization of echocardiography, cardiac magnetic resonance, and positron emission tomography in assessment.
  • Discussion on hemodynamic assessments to understand microvascular resistance.
  • Showing a strong association between inflammation and coronary microvascular dysfunction.
  • Identifying transient microvascular dysfunction as an important feature of Takotsubo syndrome.
  • Highlighting the role of existing conditions like autoimmune diseases in triggering Takotsubo syndrome.

Structured PICO

P
Population
Patients with Takotsubo syndrome (stress cardiomyopathy)

Coronary microvascular dysfunction and inflammation play key roles in the pathophysiology of Takotsubo syndrome, which can be evaluated using advanced non-invasive imaging and invasive hemodynamics.

Limitations

  • Clear experimental evidence associating the syndrome with chronic autoimmune diseases remains poor.

Cite This Study

Piccolboni et al. (2026) conducted a review in Takotsubo syndrome (TTS). Coronary microvascular dysfunction and inflammation play a central role in the pathophysiology of Takotsubo syndrome and can be evaluated using advanced imaging and invasive hemodynamic techniques.

synapsesocial.com/papers/6a44ae015cd2549c8bc435d2https://doi.org/10.3390/life16071091
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Takotsubo Cardiomyopathy: An Exploration of the Intersection Between Stress, Coronary Dysfunction, and Cardiac Outcomes2025
  2. 2Takotsubo syndrome in the context of pre-existing non-ischemic cardiomyopathy: mechanistic and clinical implications2026
  3. 3Takotsubo syndrome: Unraveling the mystery behind its triggers (Review)2025 · 5 citations
  4. 4Takotsubo Syndrome in Patients With Acute Coronary Syndrome or Myocarditis2025
  5. 5New aspects in the diagnosis of takotsubo syndrome2025 · 1 citations