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


Between 27 January and 18 March 1817, Jane Austen wrote her final, unfinished, novel Sanditon, meaning a town built upon sand. This blistering satiric anatomy links hypochondria, property speculation, and consumerism—invalids seek out seaside resorts, property prices rise, and developers cash in on the new health fads of sea air and sea-bathing. In Sanditon, Austen demonstrates her modernity, her courage, and her worldliness. Yet again.


In the eighteen-somethings, an operating theatre was where a surgeon literally performed. The audience, jostling for a better view despite the tiered seating, were there to be entertained as much as to learn. While the modern stage is a somewhat more sanitised affair, theatre remains a brave and bloody place for laying out and suturing bleeding hearts.
