What is the optimal anesthetic management of patients who have recently or remotely experienced takotsubo syndrome? It is now abundantly clear that the ...March2010-Volume110-Issue3PreviousArticleNextArticleArticleasEPUBExportAllImagestoPowerPointFileAddtoMyFavoritesColleague'sE-mailisInvalidYourName:(optional)YourEmail:Colleague'sEmail:Separatemultiplee-mailswitha(;).Message:Thoughtyoumightappreciatethisitem(s)IsawatAnesthesia&Analgesia.SendacopytoyouremailYourmessagehasbeensuccessfullysenttoyourcolleague.Someerrorhasoccurredwhileprocessingyourrequest.Pleasetryaftersometime.EndNoteProciteReferenceManagerSavemyselectionEditorials:EditorialsHessel,EugeneA.IIMD*;London,MartinJ.MD†AuthorInformationFromthe*DepartmentofAnesthesiology,UniversityofKentuckyCollegeofMedicine,Lexington,Kentucky;and†DepartmentofAnesthesiaandPerioperativeCare,UniversityofCalifornia,SanFrancisco,SanFrancisco,California.AcceptedforpublicationOctober23,2009.Supportedbyinstitutionalfunds.AddresscorrespondencetoEugeneA.Hessel,II,MD,DepartmentofAnesthesiology,800RoseSt.,Lexington,KY40536-0293.Addresse-mailto[email protected].Anesthesia&Analgesia:March2010-Volume110-Issue3-p674-679doi:10.1213/ANE.0b013e3181c9fa22FreeMetricsTakotsubocardiomyopathy(alsoknownastakotsubosyndrome,brokenheartsyndrome,ampullacardiomyopathy,transientleftventricularapicalballooning,apicalballooningsyndrome,transientleftventriculardysfunctionsyndrome,andstress[induced]cardiomyopathy)wasfirstdescribedinJapanin1990.1**Itwasinitiallycharacterizedbyauniquepatternoftransient(hourstoweeks)wallmotionabnormality(“transientleftventricularapicalballooning”)occurringintheabsenceofsignificantepicardialcoronaryarterydisease,presentingasanacutecoronarysyndrome,mostfrequentlyinpostmenopausalelderlywomen,oftentriggeredbystressfulsituations.Ithassincebeenobservedthroughouttheworldandundervariouscircumstances.††ThisconditionwasfirstdescribedintheperioperativeperiodintheNorthAmericananesthesialiteratureviacasereportsthatappearedintheSeptember2006