Symptoma

Takotsubo Cardiomyopathy

Broken-Heart Syndrome

The therapy is guided by the patient’s clinical presentation and hemodynamic status. [ncbi.nlm.nih.gov]

  • Dyspnea

    A 101 years-old woman was admitted to our Emergency Department (ED) for acute dyspnea which onset nearly two hours before presentation. She had been on hydrochlorothyazyde-amiloride therapy due to mild hypertension. [ncbi.nlm.nih.gov]

  • Common Cold

    We were able to identify possible triggers of the dysfunction in five: a common cold in two, pneumothorax in one, exercise in one, and ventricular fibrillation (VF) induced by idiopathic VF in the last. [doi.org]

  • Sputum

    Microbiological examination of the sputum demonstrated an egg of P. westermani and immunological assay showed a raised antibody titre to P. westermani. [ncbi.nlm.nih.gov]

  • Chest Pain

    Our patient had typical substernal chest pain induced with exercise and was relieved by sublingual nitroglycerin in the Emergency Department. The pain started after 2 h of intensive Zumba workout. [ncbi.nlm.nih.gov]

  • Retrosternal Chest Pain

    A 72-year-old woman with asthma attack and retrosternal chest pain was presented to our emergency unit. She had used albuterol spray ten-times before admission due to accentuated dyspnea. [ncbi.nlm.nih.gov]

    Skip to content learn bedside ultrasound, one week at a time This is a 50 year old female who presents with sudden onset retrosternal chest pain that began just after she heard of her sister’s death. [ultrasoundoftheweek.com]

  • Systolic Murmur

    On auscultation, there may be a late-peaking systolic murmur due to left ventricular outflow tract obstruction. There also may be symptoms and signs of transient ischemic attack or stroke like presentation due to embolization from apical thrombus. [ncbi.nlm.nih.gov]

    Dynamic left ventricular outflow tract obstruction in acute coronary syndromes: an important cause of new systolic murmur and cardiogenic shock. Mayo Clin Proc. 1999 ; 74 (9): 901 –906. [doi.org]

  • Hirsutism

    On review of her history, our patient was noted to be taking spironolactone 125 mg once daily for hirsutism for the past year. Our patient denied any family history of cardiac disease or heart failure. [ncbi.nlm.nih.gov]

Workup raised suspicion for non-accidental trauma. Despite progression to brain death, the severely decreased ventricular function and apical akinesis of the left ventricle improved within 40 hours of admission. [ncbi.nlm.nih.gov]

(See Presentation and Workup .) [3] Electrocardiogram of a patient with takotsubo cardiomyopathy demonstrating ST-segment elevation in anterior and inferior leads. [emedicine.medscape.com]

  • Poor R Wave Progression

    Electrocardiogram showed right axis deviation, poor R-wave progression, and diffuse ST-segment elevation in the anterior leads, and cardiomegaly was observed by roentgenogram. [ncbi.nlm.nih.gov]

    This demonstrates resolution of ST-segment elevation, and now with diffuse T-wave inversion and poor R-wave progression. [emedicine.medscape.com]

  • ST Elevation

    Distribution of ST elevation was similar, but patients with anterior STEMI exhibited greater ST elevation. [ncbi.nlm.nih.gov]

    elevation in II, III, aVf, V3, V4, V5, V6 4 Chronic emphysema Pneumothorax Chest pain, dyspnoea ST elevation in V1, V2, V3, V4, V5, V6 5 None Effort Chest oppression ST elevation in I, II, aVL, aVf, V2, V3, V4, V5, V6 6 None Cold Chest pain ST elevation [doi.org]

  • T Wave Abnormality

    ST-segment elevation was reported in 81.6% of the patients, T wave abnormalities in 64.3%, and Q waves in 31.8%. Cardiac biomarkers were usually mildly elevated, as reported in 86.2% of the patients. [eurheartj.oxfordjournals.org]

    abnormalities or Q waves 5 (Figure 5 ). [doi.org]

  • Flattened T Wave

    Electrocardiographic findings were as follows: inverted or flattened T waves (100%); QTc prolongation 0.45 seconds (90.0%); ST segment elevation (60.0%); and ST segment depression (20.0%). [ncbi.nlm.nih.gov]

She was discharged with medical therapy including a beta-blocker, which would not be routinely employed in the treatment of a patient with TCM. [ncbi.nlm.nih.gov]

Prognosis of takotsubo cardiomyopathy is generally favorable, but serious complications can occur, especially in the early stage. In this review, we summarize the current knowledge on the clinical management of takotsubo cardiomyopathy. [ncbi.nlm.nih.gov]

Prognosis of takotsubo cardiomyopathy is generally favorable, but serious complications can occur, especially in the early stage. [doi.org]

Data on longterm follow-up is pending and further studies will be necessary to clarify the etiology and reach consensus in acute and longterm management of TLVABS. [ncbi.nlm.nih.gov]

Verifica in corso… Pubblicazione: New York : McGraw Hill Education, [2017] 2017 Edizione/Formato: Libro a stampa : English : Fifty-sixth edition Vedi tutte le edizioni e i formati Sommario: Provides information on the signs, symptoms, epidemiology, etiology [worldcat.org]

Epidemiology The real incidence of Takotsubo cardiomyopathy is uncertain. [ncbi.nlm.nih.gov]

[…] groups (TCM and ACS) had similar rates of severe inpatient complications (eg, shock, death), and independent predictors of such complications included physical triggers, acute neurologic/psychiatric diseases, elevated troponin levels, and low LVEF. [17] Epidemiology [emedicine.medscape.com]

The epidemiology, pathogenesis, and management of takotsubo syndrome are reviewed in this paper. [dx.doi.org]

The pathophysiology of the disorder remains to be elucidated but may involve catecholamine excess and vasospasm. [ncbi.nlm.nih.gov]

Excess catecholamines have been postulated as a contributing mechanism to the disease, therefore, catecholamines were avoided to prevent further myocardial injury. [ncbi.nlm.nih.gov]

Images