Acute and Critical Care

Case Reports

Cardiology
Extracorporeal membrane oxygenation for takotsubo cardiomyopathy that developed after mitral valve replacement: Jeong-Hyun Choi, In Duk Oh, Eunsil Shin, Sangho Lee, Jong-Mi Jeon, Hyung-Tak Kim, Hyo-Chul Youn; Acute Crit Care. 2020;35(1):51-55. Published online April 12, 2019; DOI: https://doi.org/10.4266/acc.2018.00304

9,244 View
125 Download
5 Web of Science
7 Crossref

Takotsubo cardiomyopathy is a transient systolic and diastolic left ventricular dysfunction that presents several wall-motion abnormalities, while the coronary artery shows normal findings. Because patients with Takotsubo cardiomyopathy present with symptoms similar to acute coronary syndrome, the initial diagnosis and treatment are often difficult. The condition is often precipitated by acute emotional or physical stress and frequently occurs in postmenopausal women. Takotsubo cardiomyopathy may also occur in the perioperative period after cardiac and noncardiac surgery; surgery-associated Takotsubo cardiomyopathy reportedly accounts for 3%–23% of all cases. Of these perioperative cases, cardiothoracic surgery accounted for 16%. However, few cases have been reported in patients undergoing cardiac surgery and managed with extracorporeal membrane oxygenation (ECMO). We report a case of Takotsubo cardiomyopathy managed with ECMO in a patient in the intensive care unit after mitral valve replacement.

Citations

Citations to this article as recorded by

Mechanical Circulatory Support Strategies in Takotsubo Syndrome with Cardiogenic Shock: A Systematic Review
Johanna K. R. von Mackensen, Vanessa I. T. Zwaans, Ahmed El Shazly, Karel M. Van Praet, Roland Heck, Christoph T. Starck, Felix Schoenrath, Evgenij V. Potapov, Joerg Kempfert, Stephan Jacobs, Volkmar Falk, Leonhard Wert
Journal of Clinical Medicine.2024; 13(2): 473. CrossRef
Takotsubo cardiomyopathy after cardiac surgery: A case-series and systematic review of literature
Driss Laghlam, Olivier Touboul, Morgane Herry, Philippe Estagnasié, Jean-Claude Dib, Mohamed Baccouche, Alain Brusset, Lee S. Nguyen, Pierre Squara
Frontiers in Cardiovascular Medicine.2023;[Epub] CrossRef
Takotsubo Syndrome in Orthotopic Liver Transplant: A Systematic Review and Pooled Analysis of Published Studies and Case Reports
Milana Bachayev, Brian Brereton, Avilash Mondal, Bibi Amena Alli-Ramsaroop, Roshan Dhakal, Maria C. Buhl Leon, Camila M. Quinones, Mohamed Eyad O. Abdelal, Akhil Jain, Kartik Dhaduk, Rupak Desai
Transplantation Proceedings.2023;[Epub] CrossRef
Stress-Induced (Takotsubo) Cardiomyopathy After Liver Transplant Rescued with Venoarterial Extracorporeal Membrane Oxygenation
Giorgio Caturegli, Matthew A. Crane, Eric Etchill, Kate Giuliano, Michelle Nguyen, Benjamin Philosophe, Sung-Min Cho, Ilan S. Wittstein, Glenn J.R. Whitman
ASAIO Journal.2022; 68(4): e66. CrossRef
Stress cardiomyopathy in critical care: A case series of 109 patients
Parth Pancholi, Nader Emami, Melissa J Fazzari, Sumit Kapoor
World Journal of Critical Care Medicine.2022; 11(3): 149. CrossRef
A Case of Takotsubo Cardiomyopathy with ST Elevation during Total Arch Replacement
Kyoko Hayashida, Shinsuke Masuda, Kazuki Morimoto
Japanese Journal of Cardiovascular Surgery.2022; 51(5): 308. CrossRef
Risk factors for Takotsubo syndrome following cardiac surgery: A case–control study
Yun Seok Kim, Ju Yong Lim
Journal of Cardiac Surgery.2021; 36(8): 2767. CrossRef

Stress Related Cardiomyopathy during Flexible Bronchoscopy: Jung Ar Shin, Ji Yoon Ha, Sang Yong Kim, Byoung Kwon Lee, Hyung Jung Kim, Chul Min Ahn, Yoon Soo Chang; Korean J Crit Care Med. 2013;28(2):127-132.; DOI: https://doi.org/10.4266/kjccm.2013.28.2.127

2,452 View
24 Download

Abstract PDF: Flexible bronchoscopy is a safe medical procedure, but the incidence rate of major complications is 0.08-0.3%. Here, we report 2 cases of stress induced cardiomyopathy, which developed immediately after flexible bronchoscopy. Stress related cardiomyopathy was confirmed by EKG, echocardiography, and coronary angiogram. The cardiac functions of these patients were fully recovered with conservative treatment. Although, the pathogenesis of stress related cardiomyopathy is not well understood, post-bronchoscopy tachycardia or arrhythmia is thought to be associated with hypoxemia or catecholamine excess. Because the clinical presentation is quite similar to acute myocardial infarction, discrete evaluations are required for appropriate treatment.

Takotsubo Cardiomyopathy Induced after Postoperative ICU Care: Case Reports: Kuk Hui Son, Jae Seung Jung, Kwang Taik Kim, Kyung Sun, Ho Sung Son, Jae Yoon Song, Yong Hyun Kim, Sung Ho Lee; Korean J Crit Care Med. 2009;24(3):152-155.; DOI: https://doi.org/10.4266/kjccm.2009.24.3.152

2,616 View
27 Download
1 Crossref

Abstract PDF

'Takotsubo cardiomyopathy' or 'stress-induced cardiomyopathy' is a newly described clinical entity that's characterized by transient left ventricular apical ballooning and left ventricular apical dyskinesis in the absence of any angiographic feature of significant coronary artery disease. The cause of takotsubo cardiomyopathy is unclear, but catecholamines probably play a role in the genesis of takotsubo cardiomyopathy. We report here on two cases of takotsubo cardiomyopathy that occurred during ICU care.

Citations

Citations to this article as recorded by

Stress-induced Cardiomyopathy Following Cesarean Delivery with Hemorrhagic Shock - A Case Report -
Youn Yi Jo, Ja Young Kwon, Yoon-Seong Jang, Yong Seon Choi
The Korean Journal of Critical Care Medicine.2011; 26(1): 34. CrossRef

A Case of Stress Cardiomyopathy Complicated by Torsades de Pointes in a Patient with Acute Colitis: A Case Report: Hyoungyoung Kim, Gi Byoung Nam, Sang Jin Lee, Hyun Kee Lee, Yoonki Hong, Kee Joon Choi, You Ho Kim; Korean J Crit Care Med. 2007;22(2):101-105.

1,857 View
18 Download

Abstract PDF: A 67-year old woman, hospitalized for the management of infectious colitis, developed acute congestive heart failure. Two-dimensional echocardiography revealed left ventricular apical akinesia (ballooning) and basal hyperkinesis, which was compatible with stress cardiomyopathy. A marked QT prolongation and T wave inversion followed by nonsustained polymorphic ventricular tachycardia was noted in the electrocardiogram. Intravenous administration of magnesium completely suppressed the ventricular tachycardia. After recovery from the colitis, the follow-up ECG and echocardiogram were normalized. There was no evidence of ischemic heart disease in the coronary angiography or perfusion scan. Takotsubo cardiomyopathy is one of the most important causes of acquired QT prolongation in ICU (intensive care unit) patients.. A careful monitoring of the QT interval in these patients is warranted particularly when drugs causing QT prolongation are used.

First
Prev
Page of 1
Next
Last

Search