2020
DOI: 10.1016/j.jaccas.2020.04.028
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Recurrent Takotsubo Cardiomyopathy in a Patient With Hypertrophic Cardiomyopathy Leading to Cardiogenic Shock Requiring VA-ECMO

Abstract: Providing hemodynamic support for patients with hypertrophic cardiomyopathy and cardiogenic shock can be challenging because inotropic medications worsen intraventricular obstruction, and the effect of appropriate mechanical support remains undefined. We report a patient with hypertrophic cardiomyopathy in shock because of takotsubo cardiomyopathy requiring venoarterial extracorporeal membrane oxygenation and septal reduction for full recovery. ( Level of Difficulty: Advanced. )

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Cited by 7 publications
(6 citation statements)
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“…Prognosis is usually favorable with low mortality rates except in a few cases, 11 , 23 where the patients had presented with cardiogenic shock on admission, complicating the overall hospital course. Men generally have a worse prognosis.…”
Section: Discussionmentioning
confidence: 99%
“…Prognosis is usually favorable with low mortality rates except in a few cases, 11 , 23 where the patients had presented with cardiogenic shock on admission, complicating the overall hospital course. Men generally have a worse prognosis.…”
Section: Discussionmentioning
confidence: 99%
“…In situations in which medical therapy is not adequate and mechanical support is required, VA-ECMO may be preferred over IABP, as it provides circulatory support while increasing afterload. 9 …”
Section: Discussionmentioning
confidence: 99%
“…Our literature search yielded case series [ 7 , 8 , 9 , 12 , 13 , 14 ], case reports [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 ], one prospective cohort study [ 39 ], and one systematic review [ 40 ] that described cases of obstructive HCM with LV ballooning overlapping with neurohumoral Takotsubo syndrome (TTS). We propose key features to differentiate these diagnoses, as shown in Fig.…”
Section: Case Series and Case Reports Of Left Ventricular (Lv) Balloo...mentioning
confidence: 99%