Letter by Nagai et al Regarding Article, “Takotsubo-Like Myocardial Dysfunction in Ischemic Stroke: A Hospital-Based Registry and Systematic Literature Review”
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To the Editor:
We read the interesting clinical report by Jung et al,1 who investigated clinical and radiological characteristics of ischemic stroke patients with Takotsubo cardiomyopathy (TC). Jung et al1 found that ischemic lesions were mainly located in the right insular cortex (IC), which was the most frequently overlapped. However, there were little descriptions in the pathophysiology for the lesion laterality in the IC.
One possible mechanism underlying TC was increased sympathetic nervous system activity.2 …