scholarly journals Takotsubo Cardiomyopathy Coexisting with Acute Pericarditis and Myocardial Bridge

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Seyed Hashem Sezavar ◽  
Neda Toofaninejad ◽  
Shokoufeh Hajsadeghi ◽  
Hassan Riahi Beni ◽  
Reza Ghanavati ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Angiography ◽  
Takotsubo Cardiomyopathy ◽  
Unusual Case ◽  
Apical Ballooning ◽  
Signs And Symptoms ◽  
Myocardial Bridge ◽  
Acute Pericarditis ◽  
Coronary Syndrome ◽  
The Impact

Takotsubo cardiomyopathy (TCM) is a stress-induced cardiomyopathy that occurs primarily in postmenopausal women. It mimics clinical picture of acute coronary syndrome with nonobstructive coronary arteries and a characteristic transient left (or bi-) ventricular apical ballooning at angiography. The exact pathogenesis of TCM is not well recognized. Hereby we present an unusual case of TCM that presents with signs and symptoms of acute pericarditis and was also found to have a coexisting coronary muscle bridge on coronary angiography. We discuss the impact of these associations in better understanding of the pathogenesis of TCM.

Association of Prediabetes With Higher Coronary Atherosclerotic Burden Among Patients With First Diagnosed Acute Coronary Syndrome

Angiology ◽  
2018 ◽  
Vol 70 (2) ◽  
pp. 174-180 ◽  
Author(s):  
Burak Açar ◽  
Ozcan Ozeke ◽  
Mustafa Karakurt ◽  
Yasin Ozen ◽  
Mustafa Bilal Özbay ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Angiography ◽  
Coronary Atherosclerosis ◽  
Scoring Systems ◽  
Diabetic Patients ◽  
Coronary Syndrome ◽  
Atherosclerotic Burden ◽  
First Occurrence ◽  
And Control ◽  
The Impact

Diabetes mellitus (DM) is associated with more extensive coronary atherosclerosis and more vulnerable plaque phenotypes. However, DM should not be considered a homogeneous and purely binary entity in terms of risk assessment. We evaluated the impact of prediabetic status on coronary atherosclerosis burden in patients with first-time acute coronary syndrome (ACS) who underwent urgent coronary angiography. The patients were divided into DM, prediabetes, and control groups. The 3-vessel disease (TVD) rates and SYNTAX and Gensini scoring systems for defining atherosclerotic burden were compared. The study was conducted in 469 consecutive patients admitted with a diagnosis of ACS. Of these, 250 patients were admitted at the first occurrence of ACS undergoing diagnostic coronary angiography. SYNTAX and Gensini scores and TVD rates were higher in prediabetic patients than in nondiabetic patients ( P = .004, P = .008, and P = .014, respectively), but similar in prediabetic and diabetic patients ( P = .912, P = .773, and P = 1.000, respectively). Coronary atherosclerosis burden is more advanced in prediabetic patients than in nondiabetic patients and is comparable between prediabetic and diabetic patients at first presentation of ACS. Cardiologists should not miss the opportunity to diagnose prediabetes and DM when patients present with an ACS.

scholarly journals Management of Takotsubo cardiomyopathy before non-cardiac surgery: A case report

2021 ◽  
Vol 29 (2) ◽  
pp. 271-274
Author(s):  
Tayfun Gürol
Keyword(s):  
Acute Coronary Syndrome ◽  
Takotsubo Cardiomyopathy ◽  
Orthopedic Surgery ◽  
Systolic Dysfunction ◽  
Apical Ballooning ◽  
Left Ventricular ◽  
Enzyme Release ◽  
Coronary Syndrome ◽  
Electrocardiographic Changes ◽  
Apical Balloon Syndrome

Takotsubo cardiomyopathy (left ventricular apical balloon syndrome) is characterized by transient apical ballooning, leading to apical systolic dysfunction. This syndrome typically mimics acute coronary syndrome in terms of electrocardiographic changes and cardiac enzyme release. Although its exact pathophysiology is still unclear, it is thought to be due to stress related to the catecholaminergic discharge. It is usually seen on postmenopausal women. Herein, we report a 78-year-old female patient with Takotsubo cardiomyopathy admitted to the orthopedic surgery clinic due to a femoral fracture and had no complication after surgery.

scholarly journals Electrocardiographic Findings in Takotsubo Cardiomyopathy: ECG Evolution and Its Difference from the ECG of Acute Coronary Syndrome

2014 ◽  
Vol 8 ◽  
pp. CMC.S14086 ◽  
Author(s):  
June Namgung
Keyword(s):  
Acute Coronary Syndrome ◽  
Takotsubo Cardiomyopathy ◽  
Apical Ballooning ◽  
Left Ventricular ◽  
Qtc Interval ◽  
St Segment Elevation ◽  
Coronary Syndrome ◽  
T Wave ◽  
Wave Inversion ◽  
St Segment

Background Electrocardiogram (ECG) manifestations of takotsubo cardiomyopathy (TC) produce ST-segment elevation or T-wave inversion, mimicking acute coronary syndrome (ACS). We describe the ECG manifestation of TC, including ECG evolution, and its different points from ACS. Methods We studied 37 consecutive patients (age 67 ± 15 years, range 23-89, M:F = 12:25) from March 2004 to November 2012 with a diagnosis of TC who were proven to have apical ballooning on echocardiography or left ventricular angiography and normal coronary artery. We analyzed their standard 12-lead ECGs, including rate, PR interval, QRS duration, corrected QT (QTc) interval, ECG evolutions, and arrhythmia events. Results Two common ECG findings in TC were ST-segment elevation (n = 13, 35%) and T inversion (n = 24, 65%), mostly in the precordial leads. After ST-segment resolution, in a few days (3.5 days), diffuse and often deep T-wave inversion developed. Eight patients (22%) had transient Q-waves lasting a few days in precordial leads. No reciprocal ST-segment depression was noted. T-wave inversion continued for several months. QT prolongation (>440 milliseconds) was observed in 37 patients (97%). There were no significant life-threatening arrhythmias except atrial fibrillation (n = 6, 16%). Conclusion There are distinct differences between the ECGs of TC and ACS. These differences will help to differentiate TC from ACS.

P816Mortality during weekend admission for takotsubo syndrome: a national cross sectional large scale study

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
G Malanchini ◽  
F Lombardi
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Angiography ◽  
Hospital Mortality ◽  
Takotsubo Cardiomyopathy ◽  
Multivariate Logistic Regression Analysis ◽  
Early Reperfusion ◽  
Risk Of Death ◽  
Coronary Syndrome ◽  
The Impact

Abstract Background Higher mortality rates in patients admitted for an acute myocardial infarction during weekends has been recently confirmed. Differences in staffing and in lower rates of early reperfusion therapy are thought to affect outcomes of these patients particularly of those presenting with ST segment elevation. Patients affected by Takotsubo cardiomyopathy may present themselves mimicking those affected by heart attack and are frequently admitted with supposed diagnosis of acute coronary syndrome. No data is available about influence on mortality in relation to the time of admission among patients with Takotsubo cardiomyopathy. Rationale The aim of this study is to assess the effect on mortality due to admission during weekend among patients discharged with diagnosis of Takotsubo cardiomyopathy. Methods We retrieved administrative data about every admission to National Healthcare System hospitals in Italy between 2009 and 2017 with final diagnosis of Takotsubo cardiomyopathy according to ICD9-CM classification of diseases (code 429.83). Date of admission was used to determine the weekend (Saturday and Sunday) or weekdays exposure (Monday to Friday). The primary outcome was in-hospital mortality. Demographical characteristics of patients (age and sex) were included in a multivariate logistic regression analysis. We also analyzed the impact of weekend admission on time to coronary angiography and on length of hospital staying. Analyses were performed using Stata 13.0. Results A total of 10,861 Takotsubo admissions were identified. Mean age was 70.7 years and 91.7% were women. The in-hospital mortality was 2.21%. We found that there was no significant increase in the risk of death among patients admitted during weekends (OR 1.07; 95% CI 0.77–1.44). The variability explained by the model was of 4.2% (pseudo R-squared 0.042). Men have a higher risk of mortality as compared to women (OR 2.37, 95% C.I 1.69–3.33). Patients admitted during weekend tends to stay in hospital longer, but they do not seem to wait more days to get a coronary angiography. Conclusions At variance with patients with ST elevated acute myocardial infarction, subjects admitted during weekends for Takotsubo cardiomyopathy did not show an excess of in-hospital mortality in comparison to those admitted during week days.

The Impact of Diabetes on Outcomes of Coronary Angiography in Patients with Low-risk Acute Coronary Syndrome

2011 ◽  
Vol 20 (6) ◽  
pp. 410
Author(s):  
J. Swampillai ◽  
M. Liang ◽  
R. Aspden ◽  
R. Fisher ◽  
G. Devlin
Keyword(s):  
Acute Coronary Syndrome ◽  
Coronary Angiography ◽  
Low Risk ◽  
Coronary Syndrome ◽  
The Impact

scholarly journals Prolonged QTc Interval In Stress-Induced Takotsubo Cardiomyopathy

2020 ◽  
Vol 5 (2) ◽  
pp. 1-4
Author(s):  
Deepti Bhandare ◽  
Keyword(s):  
Acute Coronary Syndrome ◽  
Left Ventricle ◽  
Coronary Disease ◽  
Takotsubo Cardiomyopathy ◽  
Ischemic Cardiomyopathy ◽  
Apical Ballooning ◽  
Clinical Syndrome ◽  
Qtc Interval ◽  
Coronary Syndrome

Takotsubo Cardiomyopathy is a non-ischemic cardiomyopathy characterized by reversible apical ballooning of the left ventricle presenting with a clinical syndrome mimicking acute coronary syndrome in the absence of significant coronary disease.

scholarly journals Transient Left Ventricular Apical Ballooning (Takotsubo Cardiomyopathy): Mimicking Acute Coronary Syndrome

2012 ◽  
Vol 7 (2) ◽  
pp. 91-95
Author(s):  
Mohammad Razib Ahsan ◽  
Md Mukhlesur Rahman ◽  
AKM Mohiuddin Bhuiyan ◽  
Md Khurshed Ahmed ◽  
Md Abu Siddique ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Takotsubo Cardiomyopathy ◽  
Apical Ballooning ◽  
Left Ventricular ◽  
Coronary Syndrome

No abstract available DOI: http://dx.doi.org/10.3329/uhj.v7i2.10848 University Heart. Journal Vol. 7, No. 2, July 2011  

scholarly journals Stress-induced cardiomyopathy in aneurysmal subarachnoid hemorrhage

2017 ◽  
Vol 64 (1) ◽  
pp. 69-71
Author(s):  
Tijana Nastasovic ◽  
Branko Milakovic ◽  
Mila Stosic ◽  
Milos Kaludjerovic ◽  
Olga Petrovic ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Acute Coronary Syndrome ◽  
Case Report ◽  
Subarachnoid Hemorrhage ◽  
Takotsubo Cardiomyopathy ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Apical Ballooning ◽  
Stunned Myocardium ◽  
Coronary Syndrome ◽  
Neurogenic Stunned Myocardium

Introduction: Neurogenic stunned myocardium is well described after aneurysmal subarachnoid hemorrhage. Stress-induced cardiomyopathy (takotsubo cardiomyopathy) is a form of neurogenic stunned myocardium which is not common after subarachnoid hemorrhage. We describe a case report of stress-induced cardiomyopathy (takotsubo cardiomyopathy) after aneurysmal subarachnoid hemorrhage. Case report: A previously healthy postmenopausal woman suffered aneurysmal subarachnoid hemorrhage with consequent hydrocephalus. After external ventricular drainage, craniotomy and aneurysm of the posterior inferior cerebellar artery clipping, patient developed signs of acute coronary syndrome with heart failure. Transthoracic echocardiogram showed left ventricular apical ballooning and hypercontractile basal segments. On chest radiography bilateral pulmonary infiltrates were seen. Mechanical ventilation and continuous sedation were started. Five days after, patient was weaned from mechanical ventilation and extubated. On control echocardiogram, the signs of apical ballooning syndrome resolved. Conclusions: This case and review of the literature suggest stress-induced cardiomyopathy can mimic acute coronary syndrome after aneurysmal subarachnoid hemorrhage.

scholarly journals A mimic of a STEMI in an elderly male patient at emergency department requiring no stent

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Lagath Wanigabadu ◽  
◽  
Jithesh Choyi ◽  
Shahram Ahmadvazi ◽  
Sarah Justice ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Emergency Department ◽  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Coronary Angiography ◽  
Male Patient ◽  
Apical Ballooning ◽  
Elderly Male ◽  
Coronary Syndrome ◽  
St Elevation

An elderly male patient presented with chest pain and an initially abnormal ECG, with 1 mm ST elevation in the lateral leads. As he was pain free on arrival, he was treated locally, where a coronary angiography showed no stenosis and echocardiography showed apical ballooning which indicated Takotsubo Cardiomyopathy (TC). On further questioning, he indicated he has been worrying about his son’s financial circumstances. Patients with TC can present with a history and an ECG resembling and indistinguishable from ST-elevation Myocardial infarction or other types of Acute Coronary Syndrome (ACS).

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