Refine Search

New Search

Advanced search

Results: 154

(searched for: Case of Recurrent Takotsubo Cardiomyopathy)
Save to Scifeed
Page of 16
Articles per Page
by
Show export options
  Select all
The American Journal of Emergency Medicine; doi:10.1016/j.ajem.2020.08.084

The publisher has not yet granted permission to display this abstract.
Eva A. Rocha, Sciprofile linkAneesh B Singhal
Current Treatment Options in Cardiovascular Medicine, Volume 22, pp 1-13; doi:10.1007/s11936-020-00819-9

The publisher has not yet granted permission to display this abstract.
Koichi Sato, Jun Takahashi, Keiko Amano, Hiroaki Shimokawa
European Heart Journal - Case Reports; doi:10.1093/ehjcr/ytaa138

Abstract:
Background Takotsubo-like cardiomyopathy associated with pheochromocytoma (Pheo-TTS) is a recognized but uncommon disorder. While Pheo-TTS might more often recur and the pattern of left ventricular (LV) wall motion abnormality is more diverse compared with primary TTS, it remains to be elucidated whether coronary functional abnormalities are also involved. Case summary A 50-year-old woman was referred with a chief complaint of transient chest pain, dyspnoea, and paroxysmal thyroid swelling that usually developed after meals. In the past, she had been admitted to emergency rooms three times due to pulmonary oedema following the above attacks. Serial cardiac catheterizations showed normal coronary arteries and morphologically different types of LV dysfunction each time; apical LV ballooning at the first, basal LV ballooning at the second, and diffuse LV hypokinesis at the last admission. Acetylcholine (ACh) provocation testing for coronary vasospasm was negative at the second admission. During hospitalization in our department, abdominal ultrasonography for screening detected a right adrenal mass and the urinary normetanephrine level was increased. The adrenal tumour was urgently removed surgically and finally she was diagnosed as having norepinephrine-secreting pheochromocytoma. Acetylcholine testing was again performed just after the operation, showing both epicardial and microvascular coronary spasms. Since the operation, she has been free of symptoms. Importantly, ACh testing at 1-year follow-up showed that epicardial spasm was no longer noted, whereas coronary microvascular spasm persisted. Discussion Adrenal pheochromocytoma could cause recurrent attacks of catecholamine surges with different patterns of LV dysfunction, where coronary vasospasm may also be involved along the coronary arteries.
Suman Pal, Michael Broker, Hilary Wagner, Wilbert S. Aronow, William H. Frishman
Cardiology in Review; doi:10.1097/crd.0000000000000309

The publisher has not yet granted permission to display this abstract.
Sciprofile linkHafiz U Ghafoor, Abhishek Bose, Amr El-Meligy, Joseph Hannan
European Heart Journal - Case Reports, Volume 4, pp 1-6; doi:10.1093/ehjcr/ytaa004

Abstract:
Spontaneous coronary artery dissection (SCAD) is an uncommon cause of acute coronary syndrome in younger females with no pre-existing history of coronary artery disease. Recurrent SCAD is common after a first episode and can involve the same coronary artery or present as a new dissection unrelated to the initial lesion. Current recommendations advise for a conservative approach in the absence of haemodynamic compromise and flow limitations. Conversely, there are no clear guidelines for the management of early recurrent SCAD. A 52-year-old woman with history of obesity, asthma, and prediabetes presented with chest pain and electrocardiogram (ECG) showing inferior wall ST-elevation myocardial infarction (STEMI). Coronary angiography revealed proximal right coronary artery (RCA) dissection and distal left anterior descending artery (LAD) dissection, while left ventriculogram showed Takotsubo cardiomyopathy (TC). Angiography revealed no flow limitations so conservative management was pursued. She returned within a couple of days with recurrent chest pain and ECG showing similar findings of inferior STEMI. Repeat angiography confirmed progression of the proximal RCA SCAD with resolution of distal LAD SCAD. Since flow through the distal RCA was still preserved, conservative medical management was continued. She presented a third time for palpitations only and another repeat coronary angiogram showed healing RCA SCAD. Management of early recurrent SCAD continues to be a clinical dilemma. In addition, our patient had features of TC which shares a similar clinical risk factor profile with SCAD thus it may be prudent to further investigate for TC in patients presenting with SCAD and have suggestive features of TC on history and echocardiography.
Prince Sethi, Guy Vin Chang, Smitha Narayana Gowda, Radowan Elnair, Randall Fenner, Randall Lamfers
Published: 1 February 2020
The publisher has not yet granted permission to display this abstract.
Sciprofile linkKonrad Stępień, Karol Nowak, Paweł Pasieka, Konrad Warmuz, Adam Stępień, Jadwiga Nessler, Jarosław Zalewski
Published: 1 January 2020
The publisher has not yet granted permission to display this abstract.
D Chen, D Abi-Hanna, J Lambros
European Heart Journal - Cardiovascular Imaging, Volume 21; doi:10.1093/ehjci/jez319.741

The publisher has not yet granted permission to display this abstract.
Abu B. Choudhary, Adnan S. Raza, Stephen J. Peterson, Rahul Yadav, Shahzad Saleem, Salman Haq
Cardiology and Cardiovascular Medicine, Volume 4, pp 239-243; doi:10.26502/fccm.92920120

Abstract:
Background: Takotsubo cardiomyopathy or stress induced cardiomyopathy is a transient regional systolic dysfunction of the left ventricle. It often mimics acute coronary syndrome (ACS) that is reversible and in the absence of angiographically obstructive coronary artery disease (CAD). Cases of recurrent takotsubo cardiomyopathy are not common. One study analyzed 749 patients with takotsubo cardiomyopathy from the multicenter registry, found that recurrence was about 4% and most recurrences occurred in the first 5 years. Case: 68 year old female with history of takotsubo cardiomyopathy presented to the hospital for abdominal pain, nausea, vomiting with symptoms starting after taking one of nitrofurantoin. On initial evaluation she was also endorsing worsening dyspnea and labs were concerning for elevated troponins. Echocardiogram revealed reduced ejection fraction and mid-apical walls akinesis. She underwent cardiac catherization which showed non-obstructive cardiomyopathy making recurrent takotsubo the likely diagnosis. Conclusions: Takotsubo cardiomyopathy is an acute transient reduction in systolic cardiac function that is induced by emotional or physical stressors. It is a nonobstructive cardiomyopathy that resolves after the initial stressor is resolved. Actual pathogenesis is still unclear however there are hypotheses it involves excessive catecholamine release. Recurrence is rare however it can occur and usually occurs in postmenopausal women with certain risk factors.
Page of 16
Articles per Page
by
Show export options
  Select all
Back to Top Top