Takotsubo Syndrome: A Review on The Relationship Between The Heart and The Brain
Takotsubo syndrome (TTS), also known as stress cardiomyopathy, causes severe heart syndrome in humans due to extreme physiological and psychological stress events in life. Takotsubo syndrome's critical manifestations of acute chest pain and syncope or dyspnea often imitate an episode of severe myocardial infarction that does not entail coronary artery obstruction. Recent scientific data reveals that the sympathetic nervous system (SNS) stimulation contributes significantly to the pathogenesis of TTS. In detail, emotional stress events in an individual cause SNS activation, leading to an excessive release of catecholamine that inflicts toxicity to myocardial tissues when present at superfluous concentrations. However, the central nervous system (CNS) alterations and the relationship between heart and brain among TTS patients remain vague. Of late, several published studies disclosed the importance of the aforesaid heart-brain relationship in the pathogenesis of TTS. This review examines studies focused on the excessive release of catecholamine, the activation of SNS, and the heart-brain relationship in TTS cases from concurrent systemic and pathophysiological attributes.