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July 20, 2005

Impact of Earthquakes on Takotsubo Cardiomyopathy

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2005;294(3):303-307. doi:10.1001/jama.294.3.305

To the Editor: Acute physical and psychological stress may provoke cardiovascular events, and although earthquake-associated increases in sudden death and acute myocardial infarction have been reported,1,2 the effect of such conditions is unknown for stress-induced cardiomyopathy (Takotsubo cardiomyopathy).3,4 On October 23, 2004, central Niigata, Japan, was shaken by a series of 3 strong earthquakes, with about 90 large aftershocks during the following week.

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