Myocardial dysfunction in the critically ill patient: Is it really reversible?

Ruiz-Bailén, Manuel; Romero-Bermejo, Francisco José; Rucabado-Aguilar, Luis; Pérez-Valenzuela, Jesús; Ferrezuelo-Mata, Álvaro; Ramírez-Sánchez, Manuel; Cuadra, José Ángel Ramos; Martínez-Ramírez, M.J.

doi:10.1016/j.ijcard.2010.09.032

Cited by 13 publications

(12 citation statements)

References 5 publications

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“…15 16 A recent study of 45 critically ill patients with left ventricular dysfunction found that echocardiographic changes resolved within one month of initial presentation in all but one patient, who had restrictive diastolic dysfunction only, which persisted at follow-up two years later. 17 Our patient's cardiac dysfunction persisted for more than six months postpartum. Although her initial left ventricular dysfunction was probably caused by sepsis, the persistence of this problem suggests an additional cause of cardiomyopathy, with peripartum cardiomyopathy being most likely in the absence of alternative causes.…”

Section: Long Answermentioning

confidence: 64%

Postpartum fever and shortness of breath

Morton

2013

BMJ

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Section: Long Answermentioning

confidence: 64%

Postpartum fever and shortness of breath

Morton

2013

BMJ

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“…Pateron et al [45] showed that patients with LC, who had elevated serum troponin I, correlated with lower LV stroke volume and mass index. Risk assessment with ECG, coronary angiography, and myocardial perfusion scintigraphy has failed to predict a perioperative CCM [46, 47]. …”

Section: Cirrhotic Cardiomyopathymentioning

confidence: 99%

The End-Organ Impairment in Liver Cirrhosis: Appointments for Critical Care

Figueiredo

Romero-Bermejo

Perdigoto

et al. 2012

Critical Care Research and Practice

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Liver cirrhosis (LC) can lead to a clinical state of liver failure, which can exacerbate through the course of the disease. New therapies aimed to control the diverse etiologies are now more effective, although the disease may result in advanced stages of liver failure, where liver transplantation (LT) remains the most effective treatment. The extended lifespan of these patients and the extended possibilities of liver support devices make their admission to an intensive care unit (ICU) more probable. In this paper the LC is approached from the point of view of the pathophysiological alterations present in LC patients previous to ICU admission, particularly cardiovascular, but also renal, coagulopathic, and encephalopathic. Infections and available liver detoxifications devices also deserve mentioning. We intend to contribute towards ICU physician readiness to the care for this particular type of patients, possibly in dedicated ICUs.

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“…There is also doubt about whether all recurrences are TS [183]. At the present time, reasonable doubt may still be expressed about the complete reversibility of a stress cardiomyopathy [184,186]. …”

Section: Prognosis and Recurrencementioning

confidence: 99%

Takotsubo cardiomyopathy – a clinical review

2011

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SummaryStress cardiomyopathy is characterised by reversible left ventricular dysfunction. It simulates an acute coronary syndrome (ACS), presenting with precordial pain or dyspnoea, changes of the ST segment, T wave, or QTc interval on electrocardiogram, and raised cardiac enzymes. Typical findings are disturbances of segmental contractility (apical hypokinesia or akinesia), with normal epicardial coronary arteries. The true prevalence is unknown, as the syndrome may be under-diagnosed; it is more common in postmenopausal women. There is usually a trigger in the form of physical or psychological stress. The electrocardiographic, echocardiographic, and ventriculographic changes resolve spontaneously over a variable period of time (from days to months). There are a number of pathophysiological theories, none of which has been shown to be definitive, suggesting that all of them may be involved to some extent. The prognosis is generally favourable, and recurrence is very rare.

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Myocardial dysfunction in the critically ill patient: Is it really reversible?

Cited by 13 publications

References 5 publications

Postpartum fever and shortness of breath

Postpartum fever and shortness of breath

The End-Organ Impairment in Liver Cirrhosis: Appointments for Critical Care

Takotsubo cardiomyopathy – a clinical review

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