Recurrent Stress-Induced Cardiomyopathy: A Case Report and Review Article

Kotla, Suman; Nathaniel, Cyril

doi:10.1155/2011/160802

Cited by 5 publications

(7 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In most of the patients, precordial ST segment elevation or typical diffuse T wave negativity is common (6). The ECG changes are generally related to mild troponin elevation (6). The mild troponin elevation and diffuse T wave negativity in our patient was consistent with the previous data.…”

Section: Discussionsupporting

confidence: 91%

“…SIC is more commonly detected in postmenopausal females compared to males (6). Although the underlying pathophysiologic mechanism is unclear, sudden cathecholamine discharge plays some important role in this syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…The hemodynamic parameters of our patient were normal in both hospitalizations. In most of the patients, precordial ST segment elevation or typical diffuse T wave negativity is common (6). The ECG changes are generally related to mild troponin elevation (6).…”

Section: Discussionmentioning

confidence: 99%

“…However, it is speculated that apical segment is more prone to symphathetic stimulation or has an increased density of cathecholamine sensitive receptors (9,10). Coronary angiography is the gold standard for diagnosis and is not correlated well with ECG and echocardiographic findings (6). Since the presentation mimics ACS, the initial therapy should be similar to the ACS treatment.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Recurrent Takotsubo Cardiomyopathy

Yıldırım¹,

İpek²,

Ermis³

et al. 2016

Haseki

View full text Add to dashboard Cite

Med Bull Haseki 2016;54:176-8 Introduction Stress-induced cardiomyopathy (SIC) is a non-ischemic cardiomyopathy with reversible left ventricular (LV) dysfunction which is mostly seen in post menopausal women. It is also known as takotsubo cardiomyopathy, broken heart syndrome and transient LV apical ballooning syndrome. An apparent relationship of emotional and physical stress, and adverse cardiac events, such as myocardial infarction (MI), with death has been reported (1,2). Recurrence of this disease is rarely observed. Until now, in large series, the rate of recurrence has been reported to be 2.7% (3). CaseA 56-year-old female patient with a history of hypertension and hyperlipidemia was admitted to our emergency clinic with the complaint of chest pain just after she heard about her mother's death. Initial physical examination was normal. Electrocardiography (ECG) revealed negative T waves in precordial V1 to V6 leads ( Figure 1). The troponin I level was 2.39 µg/L (normal reference value is <0.1µg/L). In transthorasic echocardiography, the ejection fraction was 30% and LV apical and mid segments were akinetic with basal segment hyperkinesia. Coronary angiography was normal with an impaired ventriculography which showed akinetic apical and mid, and hyperkinetic basal segments (Figure 2a, 2b). A therapy with aspirin 100 mg po qd, perindopril 5 mg po qd, metoprolol 50 mg po qd with a twice daily subcutaneous injection of 0.6 cc enoxoparine was started. She was hemodynamically stable during follow-up. After four days, she was discharged on aspirin 100 mg po qd, perindopril 5 mg po qd, metoprolol 50 mg po qd. On the second week, during transthorasic echocardiography, we detected normal LV systolic functions. Her ECG and troponin level were also found to be normal.Strese bağlı kardiyomiyopati yoğun duygusal ya da fiziksel stres tarafından tetiklenen geçici kardiyak disfonksiyon sendromudur. Belirgin koroner arter hastalığı yokluğunda, spesifik ekokardiyografik bulgular ve klinik prezentasyon (göğüs ağrısı ve dispne) akut koroner sendromu taklit edebilir. Patofizyoloji sıklıkla stresin tetiklediği katekolamin salınımı ile ilişkilidir. Sendrom, çoğunlukla postmenopozal yaş grubu kadınlarda sıktır. %2'den daha az hastane içi mortalite ile prognozu iyidir. Tek epizodlu strese bağlı kardiyomiyopati literatürde yaygındır fakat tekrarlayan epizodlu olgular nadirdir. Bu sendromun doğasının daha iyi anlaşılması için bu olguyu sunduk.AnahtarSözcükler:Akut koroner sendrom, takotsubo, tekrarlayan Stress-induced cardiomyopathy or takotsubo syndrome is a transient cardiac dysfunction which is precipitated by intense emotional or physical stress. It mimics acute coronary syndrome clinically (chest pain and dyspnea) and has specific echocardiographic findings in the absence of significant coronary stenosis. The underlying pathophysiologic mechanism is mostly due to stress-induced catecholamine release. This syndrome is more commonly seen in females especially in the postmenopausal period. The prognosis of stress-induced card...

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Recurrent Takotsubo Cardiomyopathy

Yıldırım¹,

İpek²,

Ermis³

et al. 2016

Haseki

View full text Add to dashboard Cite

show abstract

“…Physischer Stress besteht z. B. bei körperlicher Aktivität, beim Sport, insbesondere beim Schwimmen, beim Geschlechtsverkehr, unter Alkohol-und Drogeneinwirkung und wird auch durch körperliche Schmerzen ausgelöst [35].…”

Section: Stressunclassified

Plötzlicher Herztod

2012

View full text Add to dashboard Cite

Sudden cardiac death is one of the most common causes of death and a significant number of sudden deaths occurs especially in young people. Sudden cardiac death is also frequently represented in forensic autopsy practice. In such cases pathological findings in the heart can often explain the reason for the acute death. These pathological changes include not only myocardial infarction, coronary thrombosis and all forms of myocarditis/endocarditis but also rare diseases, such as hereditary structural or arrythmogenic anomalies, lesions of the cardiac conduction system or primary cardiac tumors.

show abstract

Sudden cardiac death—update

et al. 2020

View full text Add to dashboard Cite

Sudden cardiac death (SCD) is one of the most common causes of death worldwide with a higher frequency especially in the young. Therefore, SCD is represented frequently in forensic autopsy practice, whereupon pathological findings in the heart can explain acute death. These pathological changes may not only include myocardial infarction, coronary thrombosis, or all forms of myocarditis/endocarditis but also rare diseases such as hereditary structural or arrythmogenic anomalies, lesions of the cardiac conduction system, or primary cardiac tumours.

show abstract

Recurrent Stress-Induced Cardiomyopathy: A Case Report and Review Article

Cited by 5 publications

References 14 publications

Recurrent Takotsubo Cardiomyopathy

Recurrent Takotsubo Cardiomyopathy

Plötzlicher Herztod

Sudden cardiac death—update

Contact Info

Product

Resources

About