Dr Cindy Towns
Takotsubo cardiomyopathy is thought to account for 1-2 percent of acute coronary syndromes (ACS), ACS being medicalese for what most people would call ‘heart attacks’.
Takotsubo as a diagnosis got its name from a Japanese Octopus pot which looks a little like the Takotsubo heart on echocardiography (essentially an ultrasound). Takotsubo has some more creative synonyms, including acute stress cardiomyopathy, broken heart syndrome and ‘scared to death’. It mimics a traditional heart attack but is not due to coronary artery disease. Rather, the structure of the heart balloons in places. Classically, physically or emotionally distressing events precede the presentation, but the exact mechanism of the condition remains speculative. It has been associated with earthquakes in both Japan and New Zealand.
[Read more…] about Takotsubo cardiomyopathy – and a little art with our medicine








‘The Faculty of Medicine is undertaking major course revision’. This statement is from a 1995 University of Otago memo. Part of this revision focus was a proposal that the Humanities Division provide a suite of Elective papers for third year medical students. There was already a self-directed option on offer, in which—in consultation with a willing staff member—students had 10 hours a week for five weeks to follow a particular interest. As classes had grown in size, this system had become unwieldy and it was suggested that a more systematic programme of Humanities Electives would broaden students’ appreciation of the art, as well as the science, of medicine.