Journals / Türk Kardiyoloji Derneği Arşivi / 2016 / Cilt: 44 - Sayı: 2

Takotsubo kardiyomiyopatisinde bir handikap: Dinamik çıkım yolu obstrüksiyonu

A handicap in Takotsubo cardiomyopathy: dynamic outflow obstruction

Pages
161–165
Publication Date
2022-11-05
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Described inthe present report is the case of a TCM patient with cardio- genic shock, the hemodynamics of which worsened afterinotropic agents were administered, alleviated after serumfluid and beta-blocker treatment.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Takotsubo cardiomyopathy (TCM) is an unusualform of acute cardiomyopathy showing left ventricular api- cal ballooning.
📊
Key Findings & Data:This complicationhas been described in 10 25% of all TCM patients.
💡
Conclusion & Impact:Described inthe present report is the case of a TCM patient with cardio- genic shock, the hemodynamics of which worsened afterinotropic agents were administered, alleviated after serumfluid and beta-blocker treatment.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Takotsubo cardiomyopathy (TCM) is an unusualform of acute cardiomyopathy showing left ventricular api- cal ballooning. Patients with hypotension should undergourgent echocardiography to determine if left ventricular out- flow tract (LVOT) obstruction is present. This complicationhas been described in 10 25% of all TCM patients. Thatsome patients do not survive an acute TCM event under- scores the importance of prompt recognition and targetedmanagement of dynamic LVOT obstruction. Described inthe present report is the case of a TCM patient with cardio- genic shock, the hemodynamics of which worsened afterinotropic agents were administered, alleviated after serumfluid and beta-blocker treatment.

Özet

Takotsubo kardiyomiyopatisi (TKM) apikal balon- laşma ile seyreden nadir bir akut kardiyomiyopati türüdür.Hipotansiyon ile seyreden hastalarda sol ventrikül çıkımyolu (SVÇY) darlığını saptamak amacıyla acil ekokardi- yografi yapılmalıdır. Bu komplikasyon TKMli tüm hasta- ların %10 25inde tanımlanmıştır. Ayrıca TKMli hasta- larda SVÇY obstrüksiyonunun erken tanısı ve takibininönemi bilinmediğinde bazı hastalar akut TKMden kaybe- dilebilmektedir. Bu yazıda, kardiyojenik şok ile seyreden,hemodinamisi inotrop ajanlarla bozulan, fakat sıvı yük- lemesi ve beta bloker tedavi ile düzelen TKMli bir hastasunuldu.

🔖

Cite This Article

KESKİN, M., TANIK, V. O., GÜMÜŞDAĞ, A., YILDIRIMTÜRK, Ö. (2022). Takotsubo kardiyomiyopatisinde bir handikap: Dinamik çıkım yolu obstrüksiyonu. Türk Kardiyoloji Derneği Arşivi, Cilt: 44 - Sayı: 2, 161–165. https://ajindex.com/articles/632571

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (8)

  1. Sato H, Taiteishi H, Uchida T. Takotsubo-type cardiomyopa- thy due to multivessel spasm. In: Kodama K, Haze K, Hon M, editors. Clinical aspect of myocardial injury: From ischemia to heart failure. Tokyo: Kagakuhyouronsha; 1990. p. 56–64
  2. Eitel I, von Knobelsdorff-Brenkenhoff F, Bernhardt P, Car- bone I, Muellerleile K, Aldrovandi A, et al. Clinical charac- teristics and cardiovascular magnetic resonance findings in stress (takotsubo) cardiomyopathy. JAMA 2011;306:277–86
  3. Merchant EE, Johnson SW, Nguyen P, Kang C, Mallon WK. Takotsubo cardiomyopathy: a case series and review of the literature. West J Emerg Med 2008;9:104–11
  4. Shah BN, Curzen NP. Reversible systolic anterior motion of the mitral valve and left ventricular outflow tract obstruction in association with Takotsubo syndrome. Echocardiography 2011;28:921–4
  5. Shah BN, Curzen NP. Dynamic left ventricular outflow tract obstruction and acute heart failure in tako-tsubo cardiomy- opathy. J Am Coll Cardiol 2011;58:1195–6
  6. Bybee KA, Kara T, Prasad A, Lerman A, Barsness GW, Wright RS, et al. Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med 2004;141:858–65
  7. Tsuchihashi K, Ueshima K, Uchida T, Oh-mura N, Kimura K, Owa M, et al. Transient left ventricular apical balloon- ing without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction. Angina Pectoris- Myocardial Infarction Investigations in Japan. J Am Coll Car- diol 2001;38:11–8
  8. Kawaji T, Shiomi H, Morimoto T, Tazaki J, Imai M, Saito N, et al. Clinical impact of left ventricular outflow tract obstruc- tion in takotsubo cardiomyopathy. Circ J 2015;79:839–46.