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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Takatasubos Disease, Had Two Attacks Since, Bouts Of Chest Pain, Nauseated. What Is This Disease ?

I have been diagnosed with Takatasubos disease. I had two attacks about one year apart. The first time I was
on a telemetry floor for three days and discharged. When I asked my cardiologist to please explain to me what the disease was, he told me to look it up on the computer. I recovered and was back to normal for about eleven months when I had another attack. This time I landed in ICU and was hospitalized for seven days. I have since developed hypertension and have bouts of chest pain about two to three times a week. Usually the pain occurs when I am resting or not doing anything strenuous. The only medication that I can tolerate for my hypertension is clonidine. All the other anti hypertension medications (4 or 5) make me severely nauseated with vomiting and just sick. I asked my cardiologist if he had any samples so to keep my cost down, since I wind up not using the previous medications anyway and he said that the samples were not generic and would be too expensive. So much for equality! Can you suggest an anti hypertension medication that is tolerated well by your patients? Also my heart catheterization was normal for CAD. Could my coronary arteries be having spasms and is there a treatment for it? I asked my cardiologist if one could see spasms on an ecg., and he said yes. And, that was all. I have been to three different cardiologists and none of them seem to want to help me understand? I am almost seventy one years of age and all I can say is "Doctors aren't the same"
Thank You,
AAAAA
Wed, 31 Jul 2013
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General & Family Physician 's  Response
Takatosubo Disease or Takatosubo Cardiac Cardiomyopathy is a transient syndrome which mimics acute coronary syndrome and involves left ventricle apical akinesis.All angiography is usually normal as are other tests.This usually has an emotional or physical stressor as a trigger. but this may be absent.There is no evidence of obstruction of the cardiac arteries or rupture of plaque,there may be modest ECG abnormalities including ST Elevation or T wave inversion.The mean age of people getting this is 67 years,90% cases occur in postmenopausal women.The prognosis is excellent ,complications do occur but recovery is there within 4-6 weeks.Drugs used include Beta blockers and Ace inhibitors.
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Diagnosed With Takatasubos Disease, Had Two Attacks Since, Bouts Of Chest Pain, Nauseated. What Is This Disease ?

Takatosubo Disease or Takatosubo Cardiac Cardiomyopathy is a transient syndrome which mimics acute coronary syndrome and involves left ventricle apical akinesis.All angiography is usually normal as are other tests.This usually has an emotional or physical stressor as a trigger. but this may be absent.There is no evidence of obstruction of the cardiac arteries or rupture of plaque,there may be modest ECG abnormalities including ST Elevation or T wave inversion.The mean age of people getting this is 67 years,90% cases occur in postmenopausal women.The prognosis is excellent ,complications do occur but recovery is there within 4-6 weeks.Drugs used include Beta blockers and Ace inhibitors.