Clinical Characteristics and Four-Year Outcomes of Patients in the Rhode Island Takotsubo Cardiomyopathy Registry

Regnante, Richard A.; Zuzek, Ryan; Weinsier, Steven B.; Latif, Syed R.; Linsky, Russell A.; Ahmed, Hanna N.; Sadiq, Immad

doi:10.1016/j.amjcard.2008.12.020

Cited by 121 publications

(58 citation statements)

References 10 publications

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“…Despite this, the incidence of malignant ventricular arrhythmias in TC seems to be rather low ranging from 1% to 9% in several large series of patients with the disease [15][16][17][18].…”

Section: Discussionmentioning

confidence: 99%

Is abnormal myocardial repolarization associated with the occurrence of malignant tachyarrhythmias in Takotsubo cardiomyopathy?

Streitner

Hamm

Wittstein³

et al. 2013

Cardiol J

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“…Despite this, the incidence of malignant ventricular arrhythmias in TC seems to be rather low ranging from 1% to 9% in several large series of patients with the disease [15][16][17][18].…”

Section: Discussionmentioning

confidence: 99%

Is abnormal myocardial repolarization associated with the occurrence of malignant tachyarrhythmias in Takotsubo cardiomyopathy?

Streitner

Hamm

Wittstein³

et al. 2013

Cardiol J

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“…Current understanding is that clinicians should choose combined alpha and beta-blockers such as carvedilol to minimize vasoconstriction due to alpha effects [7]. In addition, beta-blockers have been found to assist in associated complications of TC including cardiogenic shock, ventricular arrhythmias and death [16].…”

Section: Discussionmentioning

confidence: 99%

“…Mortality is similar compared to patients with ACS from other causes [14,15] and increased compared to control subject with reported chest pain [4]. Common complications include cardiogenic shock [16], arrhythmias [7] and death [5].…”

Section: Introductionmentioning

confidence: 98%

Lesser Severity of Recurrent Takotsubo Cardiomyopathy While Taking Angiotensin II Receptor Blocker and Beta Blocker

et al. 2018

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Takotsubo cardiomyopathy (TC) is characterized by transient systolic and diastolic dysfunction, ventricular wall motion abnormalities and troponin elevation. The most common presenting symptoms are acute chest pain and dyspnea. The etiology is unknown but believed to be related to a surge in catecholamines as it is commonly associated with a preceding physical or emotional stress. Due to the lack of specific treatment, recurrence occurs in 2-12% of patients per year. We present a case of a patient with TC subsequently treated with an angiotensin II receptor blocker (ARB) and beta-adrenergic blocker (beta-blocker). A repeat TC episode 4 months later showed less severely abnormal cardiac enzymes, echocardiogram and overall hospital course. Because our patient experienced a classic episode of TC and a recurrent episode with milder symptoms and lower troponins, we hypothesize her medication regimen was a contributing factor to the milder manifestation of this cardiac syndrome.

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“…As the current case started with clinically sudden onset of a shock table, hemodynamic stability could be provided with high-dose vasopressor and inotropic agents. With the exception of cardiogenic shock at the time of first diagnosis in these patients in literature, short, medium and long-term prognoses have been reported to be close to excellent [8,18]. Even if left ventricle function is severely impaired on first presentation when diagnosis is made, recovery starts within a few days and with return to a normal state within a few months, normal functions have been reported to be maintained [8,19].…”

Section: Recurrent Left Ventricular Dysfunction Accompanied Bymentioning

confidence: 99%

Takotsubo cardiomyopathy developing during recovery from general anesthesia: A case report

Aslan¹,

Güneş²,

Akker³

et al. 2018

Med-Science

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The case is here presented of a 37-year old female with obstetric complaints who underwent surgery for dermoid cysts and developed sudden shock during recovery from general anesthesia. The aim of this case presentation was to share the importance of premedication when it was thought to be related to stress in the etiopathogenesis and the management of this Takotsubo (TC) case, which started with clinical sudden onset of a shock table during recovery from general anesthesia following surgery. In cases of suddenly developing shock, TC must be considered in the differential diagnosis.

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Clinical Characteristics and Four-Year Outcomes of Patients in the Rhode Island Takotsubo Cardiomyopathy Registry

Cited by 121 publications

References 10 publications

Is abnormal myocardial repolarization associated with the occurrence of malignant tachyarrhythmias in Takotsubo cardiomyopathy?

Is abnormal myocardial repolarization associated with the occurrence of malignant tachyarrhythmias in Takotsubo cardiomyopathy?

Lesser Severity of Recurrent Takotsubo Cardiomyopathy While Taking Angiotensin II Receptor Blocker and Beta Blocker

Takotsubo cardiomyopathy developing during recovery from general anesthesia: A case report

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