Stress-Induced Cardiomyopathy

Boland, Torrey; Lee, Vivien; Bleck, Thomas P.

doi:10.1097/ccm.0000000000000851

Cited by 96 publications

(67 citation statements)

References 87 publications

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“…It was first described in Japan in 1990 by Sato et al 10. This is believed to be secondary to stress-induced catecholamine release, with subsequent stunning of the myocardium 11. Seybold et al in 2007 had reported the first case of stress-induced cardiomyopathy associated with polyglandular autoimmune type 2 syndrome in a 19-year-old man, which showed spontaneous remission with thyroxine replacement and supportive measures 12…”

Section: Discussionmentioning

confidence: 99%

Polyglandular endocrine emergency: lessons from a patient, which a book cannot teach

et al. 2018

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A 30-year-old woman with polyglandular autoimmune type 2 syndrome was found collapsed at home with a cardiac arrest, which required direct current cardioversion. On admission, she was hypothermic, hypotensive and bradycardic. Initial biochemical investigations were consistent with a pre-renal acute kidney injury, metabolic acidosis and a possible sepsis. She had significantly elevated thyroid-stimulating hormone levels on admission with the clinical profile consistent with dual Addisonian and myxoedema crisis. She received intravenous liothyronine and hydrocortisone along with supportive therapy. Echo showed severe left ventricular impairment with apical ballooning although coronary angiogram disclosed nothing abnormal. She made a gradual recovery and was discharged home after 2 weeks. She was diagnosed to have primary autoimmune hypothyroidism, Addison’s diseaseand type 1 diabetes and coeliac disease in October 2006, July 2007, May 2010 and September 2016, respectively. Her inability to stick to gluten-free diet at her workplace was considered a significant contributory factor for out-of-hospital cardiac arrest.

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Section: Discussionmentioning

confidence: 99%

Polyglandular endocrine emergency: lessons from a patient, which a book cannot teach

et al. 2018

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“…[6][7][8] Luckily, all 3 patients eventually either completely or partially resolved their cardiomyopathy, although the patient with a history of methamphetamine abuse showed incomplete resolution suggesting a greater degree of subclinical preexisting cardiac pathology. Despite the common belief that these clinical syndromes are relatively "benign" with regard to short-term morbidity or long-term outcome (particularly the classical "takotsubo" variety), all 3 cases involved major resource expenditure and considerable physical and emotional stress to the patient.…”

mentioning

confidence: 95%

Perioperative Stress Cardiomyopathy

London

2016

A & A Case Reports

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“…A Japanese physician Dr. Sato first described Tako-tsubo cardiomyopathy at the Hiroshima City Hospital in 1990 [1][2][3][4]. In its classic form, there is aneurysmal dysfunction of the apical myocardium with dyskinesis and bulging of the ventricular wall, but with preserved function of the base of the heart.…”

Section: Editorialmentioning

confidence: 99%