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

Bortnik, Miriam

doi:10.4330/wjc.v4.i6.214

Cited by 7 publications

(2 citation statements)

References 21 publications

(22 reference statements)

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“…[11] In addition, reverse TTC can be triggered during recovery from general anesthesia, as in the present case. [12,13] TTC presents with chest pain, electrocardiographic and echocardiographic abnormalities, and increased cardiac biomarkers, mimicking acute coronary syndrome and mandating prompt differentiation. Coronary angiography is usually essential for diagnostic confirmation, and most patients have angiographically normal epicardial coronary arteries or mild atherosclerosis, as the typical patient profile is a post-menopausal woman.…”

Section: Discussionmentioning

confidence: 99%

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

Demir

Güler

et al. 2016

Arch Turk Soc Cardiol

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Takotsubo cardiomyopathy (TTC), also known as left ventricular apical ballooning syndrome or stress cardiomyopathy, is characterized by transient left ventricular systolic dysfunction and the absence of obstructive lesion in the epicardial coronary arteries. The most common presentation is acute substernal chest pain, although occasionally dyspnea and syncope, and rarely shock with ST-segment elevation and elevated cardiac biomarkers have been observed. Inverted (reverse) TTC is a rare pattern characterized hypokinesis of the basal and midventricular segments. Presently described was case of a 27-year-old woman with ventricular fibrillation following endoscopic nasal sinus surgery.

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Section: Discussionmentioning

confidence: 99%

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

Demir

Güler

et al. 2016

Arch Turk Soc Cardiol

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“…45 A 30-year-old female sustained an episode of VF after a complicated delivery via cesarean section and was successfully resuscitated. 46 Subsequent ECG and echocardiography demonstrated a typical TTS pattern. Within 3 weeks, LV systolic function was restored to normal.…”

Section: In-hospital Cardiac Arrestmentioning

confidence: 98%

Takotsubo Syndrome and Sudden Cardiac Death

Manolis

Manolis²,

Melita

et al. 2022

Angiology

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Takotsubo syndrome (TTS), triggered by intense emotional or physical stress, occurring most commonly in post-menopausal women, presents as an ST-elevation myocardial infarction (MI). Cardiovascular complications occur in almost half the patients with TTS, and the inpatient mortality is comparable to MI (4–5%) owing to cardiogenic shock, myocardial rupture, or life-threatening arrhythmias. Thus, its prognosis is not as benign as previously thought, as it may cause mechanical complications (cardiac rupture) and potentially lethal arrhythmias and sudden cardiac death (SCD). Similar to MI, some patients may perish before reaching the hospital due to out-of-hospital cardiac arrest; this may lead to underestimation of the actual SCD risk. Furthermore, after discharge, some patients may develop late SCD and/or TTS recurrence that may result in SCD. There are risk factors for SCD in TTS patients, such as severe/persistent QT-interval prolongation inciting torsade-de-pointes, other ECG abnormalities (diffuse giant negative T-waves, widened QRS-complex), bradyarrhythmias, comorbidities, concurrent obstructive coronary artery disease or vasospasm, male gender, older age, severe left ventricular dysfunction, and use of sympathomimetic drugs. All these issues are herein reviewed, case reports/series and data from large cohort studies and meta-analyses are analyzed, risk factors are tabulated, and proarrhythmic effects and management strategies are discussed and pictorially illustrated.

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