Tako-Tsubo syndrome in a pregnant woman

D’Amato, Nicola; Colonna, Paolo; Brindicci, Paolino; Campagna, Maria Grazia; Petrillo, Claudio; Cafarelli, Aldo; D’Agostino, Carlo

doi:10.1093/ejechocard/jen135

Cited by 18 publications

(11 citation statements)

References 5 publications

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“…Several general observations have been made in Japan [5,6,7,8,9,10]. D’Amato et al [11] reported pregnant woman with TT cardiomyopathy who did not exhibit coronary artery disease. However, she did have severe impairment of cardiac function with typical ECHO and ECG findings.…”

Section: Discussionmentioning

confidence: 99%

Tako-Tsubo Cardiomyopathy Caused Immediately following Cesarean Section Delivery of Triplets: A Case Report

Shoji¹,

Takatori²,

Oyama³

et al. 2012

Gynecol Obstet Invest

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The name ‘tako-tsubo’ cardiomyopathy was initially used to describe a unique ‘short-neck round-flask’-shaped form of left ventricular apical ballooning, resembling a Japanese tako-tsubo, a jar (tsubo) used for capturing octopus (tako). Tako-tsubo cardiomyopathy exhibits acute onset, transient left ventricular apical wall motion abnormalities with chest symptoms and minimal myocardial enzymatic release, mimicking acute myocardial infarction in patients without angiographic stenosis on coronary angiography. There have been few case reports on tako-tsubo cardiomyopathy, and this disorder is especially rare in pregnant women. A 30-year-old woman who was pregnant with triplets, and had been treated with ritodrine hydrochloride for 12 weeks for threatened premature delivery, underwent cesarean section with spinal anesthesia at 30 weeks’ gestation. Three hours later, she complained of acute chest pain, dyspnea and episodes of unconsciousness. She was transferred to the intensive care unit and intubated for ventilatory support. We diagnosed heart failure due to tako-tsubo cardiomyopathy based on heart ultrasonography, blood tests, chest X-ray, electrocardiogram and myocardial scintigraphy. She was extubated from the ventilator after 3 days of catecholamine, furosemide and carperitide administration. She was discharged from the hospital on day 53 without symptoms.

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Section: Discussionmentioning

confidence: 99%

Tako-Tsubo Cardiomyopathy Caused Immediately following Cesarean Section Delivery of Triplets: A Case Report

Shoji¹,

Takatori²,

Oyama³

et al. 2012

Gynecol Obstet Invest

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“…Only six patients have been reported including the present patient: TTS occurred in the first to second trimester in four patients and in the third trimester in two patients (Table 1). [4][5][6][7][8] In the present patient, TTS occurred concomitantly with PE, leading to a poor neonatal outcome. Although previous reports on pregnancy-associated TTS showed a good maternal outcome, antenatally occurring TTS complicated by severe PE may become critical for fetuses.…”

Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 62%

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Takotsubo syndrome occurring concomitantly with pre‐eclampsia: A case report

Horie

Takahashi

Fujimoto

et al. 2019

J of Obstet and Gynaecol

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Takotsubo syndrome (TTS) patients show transient ventricular dysfunction without coronary artery stenosis. We report a pregnant woman with TTS occurring concomitantly with severe pre‐eclampsia (PE). A primiparous woman complained of dyspnea at 35 weeks of gestation. She showed severe PE, and cardiac ultrasound identified akinesis of the anterior lower wall. On the same day, emergent cesarean section was performed due to a nonreassuring fetus status, yielding a male infant with an umbilical artery pH of 6.851. Unfortunately, the neonate died of multiple organ failure. Following the delivery, her cardiac function markedly improved, and coronary angiography showed no coronary artery stenosis. Considering the clinical findings, we diagnosed the patient with TTS. Regarding antenatally occurring TTS, only six patients have been reported including the present one. Of the six patients, three had severe PE. Although previous reports on pregnancy‐associated TTS described good maternal outcomes, antenatally occurring TTS complicated by severe PE may become critical for fetuses.

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“…Patients affected by the disease are predominantly postmenopausal women who experience intense emotional or physical stress and subsequently develop chest pain and dyspnea [5] . Although cases of TCM in young women during pregnancy and even during delivery have already been described [6][7][8] , this entity in young premenopausal women appears to be rather unusual.…”

Section: Introductionmentioning

confidence: 83%

Ventricular fibrillation as primary presentation of takotsubo cardiomyopathy after complicated cesarean delivery

Bortnik¹

2012

WJC

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Takotsubo cardiomyopathy typically affects post-menopausal women under severe psychological or physical stress; it also has been reported to develop after medical procedures or surgery. We herein report the rare case of a 30-year-old woman who presented with an episode of ventricular fibrillation after a very complicated cesarean delivery and was successfully resuscitated. Subsequent electrocardiography and echocardiography showed a typical Takotsubo pattern. Within 3 wk, left ventricular systolic function returned to normal.

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Tako-Tsubo syndrome in a pregnant woman

Cited by 18 publications

References 5 publications

Tako-Tsubo Cardiomyopathy Caused Immediately following Cesarean Section Delivery of Triplets: A Case Report

Tako-Tsubo Cardiomyopathy Caused Immediately following Cesarean Section Delivery of Triplets: A Case Report

Takotsubo syndrome occurring concomitantly with pre‐eclampsia: A case report

Ventricular fibrillation as primary presentation of takotsubo cardiomyopathy after complicated cesarean delivery

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