Sinus Surgery Complicated with Ventricular Fibrillation in A Young Patient; Inverted (Reverse) Takotsubo Cardiomyopathy

Demir, Gültekin Günhan; Güler, Gamze Babur; Güler, Ekrem; Güneş, Hacı Murat; Kızılırmak, Filiz

doi:10.5543/tkda.2015.76128

Cited by 7 publications

(8 citation statements)

References 13 publications

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“…Unlike the post-menopausal women profile of classical type, reverse type was shown to be significantly associated with younger age and mental or physical stress rather than catecolamine excess [11,18]. Of note, death was more common in men than women with TTS [11].…”

Section: Diagnosismentioning

confidence: 78%

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Takotsubo Syndrome: Still Graveyard of Case Reports?

Demir¹

2018

Current Perspectives on Cardiomyopathies

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Takotsubo syndrome, or previously named as Takotsubo cardiomyopathy, is an increasingly recognized acute reversible form of heart failure, which is typically seen in postmenopausal women following emotional or physical stress. Although several mechanisms regarding pathophysiology had been proposed, the most common ones include catecholamine toxicity, diffuse epicardial coronary artery spasm and microvascular dysfunction. A vast majority of patients with TTS (>90%) have good prognosis as they regain normal left ventricular systolic function in 3-6 months after the acute phase. Increased awareness among physicians led to the recognition of a great number and variety of conditions associated with TTS and played a key role for the development of new diagnostic criteria. However, there are still big gaps in the management and treatment of this syndrome to be supported with further well-designed randomized controlled trials.

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Section: Diagnosismentioning

confidence: 78%

“…These symptoms are more likely to occur with less common clinical subtypes other than apical ballooning. Reverse (inverted) TTS was shown to present at a younger age and with fatal ventricular arrhythmias [18].…”

Section: Historymentioning

confidence: 99%

Takotsubo Syndrome: Still Graveyard of Case Reports?

Demir¹

2018

Current Perspectives on Cardiomyopathies

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“…Deniz et al operated on a 92-year old patient under spinal anesthesia for transurethral resectionbladder tumor (TUR-BT) and reported that TC developed at 1 hour postoperatively [6]. Demir et al reported that ventricular fibrillation developed in a 27-year old female during recovery from general anesthesia following surgery for chronic sinusitis and nasal polyps and as a result of examinations, TC was diagnosed [7].…”

Section: Discussionmentioning

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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“…While QTc was 680 ms [16], TdP did not occur during monitoring. She received cardioversion because of hemodynamic compromise due to VT. On followup, her QTc was 400 ms. Demir, Babur Güler, Güler, Güneş, and Kızılırmak [17] described a 27-year-old healthy woman admitted for endoscopic sinus surgery. She developed VF during recovery from anesthesia, treated with defibrillation.…”

Section: Ventricular Tachycardia Ventricular Fibrillation and Othermentioning

confidence: 99%

“…TTC tends to occur more frequently in postmenopausal women, especially after a recent stressful episode [11,13,16,19]; however, younger women are also at risk [14,17,21], and incidence in men continues to increase every day [18,20]. Emotional stress is arguably the most common trigger.…”

Section: Ventricular Tachycardia Ventricular Fibrillation and Othermentioning

confidence: 99%

Pathogenesis of Ventricular Arrhythmias and Its Effect on Long-Term Prognosis in Patients With Takotsubo Cardiomyopathy

Escobar

Myat

Amin

et al. 2020

Cureus

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Takotsubo cardiomyopathy (TTC), also known as broken heart syndrome, stress cardiomyopathy (SCM), or apical ballooning syndrome, is a non-ischemic cardiac disease with an initial clinical presentation that is very similar to acute coronary syndrome (ACS). Ventricular arrhythmias (VAs) contribute significantly to an increase in the rates of death in patients with TTC, especially during the acute phase, in which patients with TTC are more susceptible to develop life-threatening arrhythmias (LTA) such as ventricular tachycardia (VT), ventricular fibrillation (VF), torsades de pointes (TdP), and sudden cardiac death (SCD). However, the pathophysiology of TTC and how VA occurs are still a mystery. We aim to review previous literature and discuss the possible mechanisms of VA in TTC patients. VA usually complicates the acute phase of the disease and worsens the long-term prognosis. Alterations of repolarization (negative T wave, prolonged QTc) indicate a high risk of arrhythmic events (TdP, VT, VF, and SCD). Catecholamine effect on myocardial cells and myocardial edema can create a substrate for the development of VA. Some of the most commonly proposed mechanisms for the development of VA in patients with TTC are coronary vasospasm, myocardial stunning due to catecholamines, re-entry, and triggered activity. Further prospective studies, including a more significant number of patients, are required to understand the disease's pathophysiology better and improve LTA management in patients with TTC.

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Sinus Surgery Complicated with Ventricular Fibrillation in A Young Patient; Inverted (Reverse) Takotsubo Cardiomyopathy

Cited by 7 publications

References 13 publications

Takotsubo Syndrome: Still Graveyard of Case Reports?

Takotsubo Syndrome: Still Graveyard of Case Reports?

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

Pathogenesis of Ventricular Arrhythmias and Its Effect on Long-Term Prognosis in Patients With Takotsubo Cardiomyopathy

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