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Takotsubo

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https://www.readbyqxmd.com/read/28645448/takotsubo-syndrome-presenting-as-syncope-in-a-patient-with-permanent-pacemaker
#1
Bharatraj Banavalikar, Sivasankaran Sivasubramonian, Narayanan Namboodiri, Krishna Kumar Mohanan Nair, Dibya Ranjan Behera, Ajitkumar Valaparambil
Takotsubo syndrome is an acute reversible heart failure syndrome triggered by physical or emotional stress, especially in postmenopausal women. Herein, we describe a case of a 31-year-old pacemaker dependent lady who presented with syncope after she was bereaved of her father. Electrocardiogram at admission revealed ventricular paced rhythm at 60/min, prolonged QT interval and frequent runs of torsades de pointes. Transthoracic echocardiogram and left ventriculogram revealed findings typical of Takotsubo syndrome...
May 18, 2017: Journal of Electrocardiology
https://www.readbyqxmd.com/read/28639963/takotsubo-like-cardiomyopathy-after-loperamide-overdose
#2
Kinner M Patel, Siddharth Shah, Dinesh Subedi
No abstract text is available yet for this article.
April 27, 2017: American Journal of Therapeutics
https://www.readbyqxmd.com/read/28638839/broken-heart-syndrome-in-a-patient-on-maintenance-hemodialysis
#3
Sukhdeep Bhogal, Vatsal Ladia, Puja Sitwala, Kailash Bajaj, Vijay Ramu, Timir Paul
Context:Broken heart syndrome or Takotsubo cardiomyopathy (TC) is a disorder characterized by transient left ventricular apical ballooning that almost invariably precedes emotional or physical stress. Although the patients with chronic kidney disease on hemodialysis have shown to exhibit sustained activity of sympathetic nervous system, the presentation of TC in these patients is a rare entity with few case reports in the literature. Case Report: A 75-year-old female with past medical history of end-stage renal disease presented with chest pressure and heaviness that started during her maintenance hemodialysis session...
April 2017: Journal of Investigative Medicine High Impact Case Reports
https://www.readbyqxmd.com/read/28637239/misleading-takotsubo-like-syndrome-unravelled-by-intracoronary-imaging
#4
Fernando Macaya, Oscar Vedia, Nieves Gonzalo, Ivan J Nuñez-Gil, Javier Escaned
No abstract text is available yet for this article.
June 16, 2017: European Heart Journal Cardiovascular Imaging
https://www.readbyqxmd.com/read/28633090/pulmonary-and-cardiac-pathology-in-sudden-unexpected-death-in-epilepsy-sudep
#5
REVIEW
Fábio A Nascimento, Zian H Tseng, Cristian Palmiere, Joseph J Maleszewski, Takayuki Shiomi, Aileen McCrillis, Orrin Devinsky
OBJECTIVE: To review studies on structural pulmonary and cardiac changes in SUDEP cases as well as studies showing pulmonary or cardiac structural changes in living epilepsy patients. METHODS: We conducted electronic literature searches using the PubMed database for articles published in English, regardless of publication year, that included data on cardiac and/or pulmonary structural abnormalities in SUDEP cases or in living epilepsy patients during the postictal period...
June 17, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/28610801/effect-of-myocardial-infarction-with-nonobstructive-coronary-arteries-on-physical-capacity-and-quality-of-life
#6
Maria Daniel, Stefan Agewall, Kenneth Caidahl, Olov Collste, Christina Ekenbäck, Mats Frick, Shams Y-Hassan, Logman Henareh, Tomas Jernberg, Karin Malmqvist, Karin Schenck-Gustafsson, Peder Sörensson, Örjan Sundin, Claes Hofman-Bang, Per Tornvall
Patients with myocardial infarction with nonobstructive coronary arteries (MINOCA), including Takotsubo syndrome (TS), are considered to have a better survival compared with those with coronary heart disease (CHD). Studies of patients with MINOCA measuring physical and mental function including matched control groups are lacking. The aim of this study was to determine the physical capacity and quality of life in patients with MINOCA. One-hundred patients with MINOCA along with TS (25%) were investigated from 2007 to 2011...
May 10, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/28606950/pathophysiology-of-takotsubo-syndrome
#7
REVIEW
Francesco Pelliccia, Juan Carlos Kaski, Filippo Crea, Paolo G Camici
Originally described by Japanese authors in the 1990s, Takotsubo syndrome (TTS) generally presents as an acute myocardial infarction characterized by severe left ventricular dysfunction. TTS, however, differs from an acute coronary syndrome because patients have generally a normal coronary angiogram and left ventricular dysfunction, which extends beyond the territory subtended by a single coronary artery and recovers within days or weeks. The prognosis was initially thought to be benign, but subsequent studies have demonstrated that both short-term mortality and long-term mortality are higher than previously recognized...
June 13, 2017: Circulation
https://www.readbyqxmd.com/read/28602445/pre-existing-psychiatric-illness-is-associated-with-increased-risk-of-recurrent-takotsubo-cardiomyopathy
#8
Arash Nayeri, Eric Rafla-Yuan, Eric Farber-Eger, Marcia Blair, Boback Ziaeian, Martin Cadeiras, John A McPherson, Quinn S Wells
BACKGROUND: The increased prevalence of psychiatric illness among patients with takotsubo cardiomyopathy (TC) has been previously described. OBJECTIVES: We sought to assess the effect of pre-existing psychiatric illness on clinical outcomes following the diagnosis of TC. METHODS: Adults diagnosed with TC at Vanderbilt University Medical Center between 1999 and 2015 were included in the study. Medical records were retrospectively reviewed to identify any pre-existing mood, anxiety, or schizophrenia-spectrum illness before TC presentation...
April 20, 2017: Psychosomatics
https://www.readbyqxmd.com/read/28599831/alterations-in-cardiac-deformation-timing-of%C3%A2-contraction-and-relaxation-and-early-myocardial-fibrosis-accompany-the-apparent-recovery-of-acute-stress-induced-takotsubo-cardiomyopathy-an-end-to-the-concept-of%C3%A2-transience
#9
Konstantin Schwarz, Trevor Ahearn, Janaki Srinivasan, Christopher J Neil, Caroline Scally, Amelia Rudd, Baljit Jagpal, Michael P Frenneaux, Cristina Pislaru, John D Horowitz, Dana K Dawson
BACKGROUND: Takotsubo syndrome is an increasingly recognized cause of chest pain and occasionally of cardiogenic shock. Despite rapid improvement of the left ventricular (LV) ejection fraction, recent registry data raise concerns about long-term prognosis. The aim of this study was to test the hypothesis that restoration of normal ejection fraction after acute takotsubo syndrome is not equivalent to full functional recovery. METHODS: Fifty-two patients with takotsubo syndrome (according to the Mayo Clinic criteria plus cardiac magnetic resonance imaging to exclude myocardial infarction) and 44 healthy control subjects of the same age, gender, and cardiovascular comorbidity distribution were prospectively recruited...
June 6, 2017: Journal of the American Society of Echocardiography
https://www.readbyqxmd.com/read/28598062/atypical-variants-of-takotsubo-cardiomyopathy-twin-case-reports
#10
Neeta Bachani, Jaipal Jadwani, Gopi Krishna Panicker, Yash Lokhandwala
Takotsubo cardiomyopathy (TTC) is a well-known entity. We present two rare presentations of the same. Our first patient was diagnosed to have hypertrophic cardiomyopathy with ventricular tachycardia (VT), for which an ICD had been implanted. He later developed acute TTC with a large left ventricular (LV) apical thrombus. Our second patient was a 59 year old lady diagnosed to have TTC 2 years ago, from which she had recovered completely. She recently developed a recurrence of the same.
May 2017: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/28595746/ratio-of-high-sensitivity-troponin-to-creatine-kinase-mb-in-takotsubo-syndrome
#11
Charles Pirlet, Luc Pierard, Victor Legrand, Olivier Gach
BACKGROUND: Takotsubo syndrome (TT) and myocardial infarction (MI) share numerous similarities in clinical presentation, ECG modifications and biomarker elevation. We sought to determine whether the ratio of high-sensitivity cardiac troponin T (hs-TnT) to the myocardial fraction of creatine kinase (CKMB) could be a potent discriminator between TT and MI patients. METHODS: We separately present analysis of data from retrospective files and prospectively recruited patients presenting with TT (35 retrospective and 42 prospective), NSTEMI (48 retrospective and 75 prospective) and STEMI (20 retrospective and 39 prospective)...
June 3, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28593801/renal-dysfunction-indicative-of-outcomes-in-hospitalized-patients-with-takotsubo-syndrome
#12
Kaoru Ando, Hiroyasu Sukekawa, Aoi Takahata, Yusuke Kobari, Hayato Tsuchiya, Daisuke Ishigaki, Toshiaki Tamabuchi, Yo Koyama
BACKGROUND: Left ventricular dysfunction as part of takotsubo syndrome is reversible, and the long-term prognosis appears favorable. However, life-threatening complications are not uncommon during the acute phase, and it remains unclear whether renal dysfunction is a factor in complications suffered by hospitalized patients with takotsubo syndrome. The present study was conducted to investigate the implications of renal dysfunction in this setting. METHODS: Data from 61 consecutive patients (male, 21; female, 40) diagnosed with takotsubo syndrome at our hospital between years 2010 and 2016 were evaluated retrospectively...
June 1, 2017: European Heart Journal. Acute Cardiovascular Care
https://www.readbyqxmd.com/read/28593334/seasonal-variation-in-patient-characteristics-and-in-hospital-outcomes-of-takotsubo-syndrome-a-nationwide-retrospective-cohort-study-in-japan
#13
Toshiaki Isogai, Hiroki Matsui, Hiroyuki Tanaka, Kiyohide Fushimi, Hideo Yasunaga
Although there is reportedly seasonal variation in the occurrence of Takotsubo syndrome (TTS), it is unknown whether there is a relationship between season and patient characteristics, or whether season influences outcomes. Using the Diagnosis Procedure Combination database in Japan, we retrospectively identified 4306 patients (mean age 73.6 years) hospitalized with TTS between January 2011 and December 2013. We divided patients into four groups according to season of admission [n = 914, Spring (March-May); n = 1243, Summer (June-August); n = 1245, Autumn (September-November); n = 904, Winter (December-February)]...
June 7, 2017: Heart and Vessels
https://www.readbyqxmd.com/read/28584311/takotsubo-cardiomyopathy-in-the-case-of-72-year-old-teacher-after-work-related-psychological-stress-evolution-of-left-ventricular-longitudinal-strain-delayed-but-complete-recovery-in-automated-function-imaging-afi
#14
Karina Wierzbowska-Drabik, Andrzej Marcinkiewicz, Piotr Hamala, Ewa Trzos, Piotr Lipiec, Małgorzata Kurpesa, Radosław Kręcki, Michał Plewka, Jarosław D Kasprzak
Takotsubo cardiomyopathy (TC) is related to a transient systolic dysfunction of left ventricle (LV), accompanied by clinical and electrocardiographic symptoms of myocardial ischemia in the absence of hemodynamically significant coronary artery disease. Takotsubo cardiomyopathy is usually provoked by a psychologically or/and physically stressful event which may be related to occupational activities. Although visually assessed evolution of LV function is well documented, the data concerning strain changes is sparse and various patterns of deformation abnormalities are suggested...
March 23, 2017: International Journal of Occupational Medicine and Environmental Health
https://www.readbyqxmd.com/read/28582830/in-reply-to-what-could-be-the-mechanism-of-the-delayed-normalization-of-the-electrocardiogram-in-patients-with-aneurysmal-subarachnoid-hemorrhage-triggered-takotsubo-syndrome
#15
Keisuke Kadooka, Hiromu Hadeishi, Kosuke Kadooka
No abstract text is available yet for this article.
June 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28582829/what-could-be-the-mechanism-of-the-delayed-normalization-of-the-electrocardiogram-in-patients-with-aneurysmal-subarachnoid-hemorrhage-triggered-takotsubo-syndrome
#16
https://www.readbyqxmd.com/read/28578653/chemotherapy-induced-takotsubo-cardiomyopathy-a-case-report-and-review-of-the-literature
#17
Matteo Coen, Fabio Rigamonti, Arnaud Roth, Thibaud Koessler
BACKGROUND: Several chemotherapy molecules, monoclonal antibodies and tyrosine kinase inhibitors, have been linked to Takotsubo cardiomyopathy (TC). CASE PRESENTATION: In this article, we describe the case of a 45-year-old woman who developed TC after receiving an intra-arterial and intra-venous polychemotherapy for locally advanced epidermoid carcinoma of the anal canal. This is the first described case of TC associated with intra-arterial chemotherapy. CONCLUSIONS: A review of the literature points to 5-fluorouracil as the most common molecule associated with TC and highlights the potential risk associated with rechallenging patient with the same drug...
June 2, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28577159/biventricular-thrombosis-in-biventricular-stress-takotsubo-cardiomyopathy
#18
Luisa De Gennaro, Massimo Ruggiero, Sergio Musci, Francesco Tota, Domenica De Laura, Manuela Resta, Nicola Locuratolo, Francesco Santoro, Natale Daniele Brunetti, Pasquale Caldarola
Endo-ventricular thrombosis represents a possible clinical complication of stress(takotsubo)-cardiomyopathy (SC). Depressed ventricular systolic ventricular function, localized left ventricular (LV) dyskinesis, but also an increased pro-thrombotic state induced by catecholamine surge may facilitate the occurrence of endovascular thrombosis in SC. SC, however, may also present as right ventricular (RV) dysfunction or even as biventricular ballooning. Ventricular thrombosis may therefore theoretically occur in either ventricles or both...
June 2, 2017: Journal of Thrombosis and Thrombolysis
https://www.readbyqxmd.com/read/28574114/venlafaxine-intoxication-with-development-of-takotsubo-cardiomyopathy-successful-use-of-extracorporeal-life-support-intravenous-lipid-emulsion-and-cytosorb%C3%A2
#19
Ines Schroeder, Michael Zoller, Matthias Angstwurm, Felix Kur, Lorenz Frey
We describe a young patient who ingested 18 g (240 times the daily therapeutic dose) of venlafaxine in a suicide attempt. She developed severe cardiomyopathy in a takotsubo distribution causing cardiogenic shock and multi-organ dysfunction syndrome (MODS). She was successfully treated with intravenous lipid emulsion (ILE), extracorporeal life support (ECLS) and CytoSorb®. This is remarkable as, to the best of the authors' knowledge, this is the highest amount of venlafaxine intake seen in the literature with a nonfatal outcome...
May 23, 2017: International Journal of Artificial Organs
https://www.readbyqxmd.com/read/28570230/kounis-syndrome-is-it-really-a-takotsubo-like-syndrome
#20
O S Kotsiou, K I Xirogiannis, K I Gourgoulianis
No abstract text is available yet for this article.
June 2017: Journal of Investigational Allergology & Clinical Immunology
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