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QJM 2007 100(9):594-596; doi:10.1093/qjmed/hcm075
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© The Author 2007. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Response

The first 10% of the full text of this article appears below.

Sir,

We greatly appreciate Dr Arora's response to our study.1 We always try to diagnose patients with takotsubo cardiomyopathy (TC) prospectively. Cardiac catheterization is the most reliable method to diagnose TC, but we confirm TC using not only the catheter findings in the acute phase, but also pathological findings and/or clinical causes, including electrocardiogram (ECG) pattern. It is quite difficult to distinguish a patient with TC from one with acute coronary syndrome, but we often find elevated ST segment on ECG without severe . . . [Full Text of this Article]

Y.J. Akashi

Division of Cardiology
Department of Internal Medicine
St Marianna University School of Medicine
Kawasaki
Japan

email: johnny@marianna-u.ac.jp


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