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Editorial
. 2022 Jun 10;6(6):ytac235.
doi: 10.1093/ehjcr/ytac235. eCollection 2022 Jun.

The Swiss cheese model in takotsubo syndrome

Luca Arcari  1 , Maria Beatrice Musumeci  2 , Luca Cacciotti  1
Affiliations
Editorial

The Swiss cheese model in takotsubo syndrome

Luca Arcari et al. Eur Heart J Case Rep. .
No abstract available

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Figures

Figure 1
Figure 1
Graphical representation of the ‘Swiss cheese model’ applied to TTS. Protective mechanisms (slices) reduce the systemic consequences of stressful triggers. In vulnerable individuals, several factors (holes) impair the patients’ ability to manage triggers, favouring the development of myocardial wall motion abnormalities. In some patients, specific combinations of reiterative triggers with chronic failures in certain protective layers may enhance TTS recurrence. The presence of unknown factors/failing protective mechanisms prevent us a full understanding of the underlying pathogenesis.
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