Recurrent Stress-Induced Cardiomyopathy With Cardiogenic Shock Requiring Impella Left Ventricular Assist Device

Abstract

Stress-induced cardiomyopathy (SIC) is associated with varying etiologies. We present a case of a 65-yearold female with recurrent SIC secondary to seizures who presented in cardiogenic shock requiring mechanical circulatory support using an Impella CP via the right axillary approach.

Favorable Effects of Impella on Takotsubo Syndrome Complicated with Cardiogenic Shock

“…However, the frequency of use of Impella support for TTS with CS is apparently less than that of IABP or VA-ECMO as shown by recent reports. 6,8) There are several single case reports regarding the use of Impella in TTS cases with hemodynamic deterioration, [9][10][11][12][13][14][15][16][17][18][19] but the hemodynamic effects of Impella support on TTS with CS were not characterized in detail in most case reports. Thus, we delineated clinical characteristics of four consecutive cases with TTS with CS who were successfully treated by Impella support and detailed hemodynamic responses to Impella support in TTS cases with CS.…”