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Autonomic imbalance in patients with takotsubo cardiomyopathy: cause or association?
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Sir,
In a recent paper, Akashi et al.1 examined cardiac autonomic functions in patients with reversible takotsubo cardiomyopathy (TC), and suggested that this disorder might be caused by neurogenic stunning of the myocardium due to acute autonomic dysfunction. While these findings are very interesting, and may provide useful insight into the pathogenesis of this poorly understood disorder, certain ethical issues and suggested interpretations of the study
Western Pennsylvania Hospital
Temple University Program
Department of Cardiovascular Diseases
4800 Friendship Avenue Pittsburgh, PA 15224
email: sandeeparora24@hotmail.com