scholarly journals ‘Broken heart’ in acute-on-chronic liver failure

2016 ◽  
Vol 26 (2) ◽  
pp. 131-132
Author(s):  
Ennaliza Salazar ◽  
Chee Kiat Tan ◽  
George Boon Bee Goh

Takotsubo cardiomyopathy usually occurs as a result of catecholamine release causing myocardial ‘stunning’ during physical or emotional stress. Typically coronary angiogram shows normal or minor coronary artery disease and echocardiogram shows apical ballooning with basal wall hyperkinesia. The prognosis is excellent with good cardiac functional recovery within days to weeks. We report the first case of takotsubo cardiomyopathy in a patient with acute-on-chronic liver failure.

2021 ◽  
Vol 14 (11) ◽  
pp. e246553
Author(s):  
Adam Ioannou

Takotsubo cardiomyopathy is characterised by left ventricular apical ballooning, in the absence of coronary artery disease, and classically occurs at times of intense stress. Due to the striking preponderance of Takotsubo cardiomyopathy occurring in postmenopausal women, it has been postulated that female sex hormones may also be implicated in its pathogenesis. This case report describes the first case of Takotsubo cardiomyopathy associated with the initiation of dydrogesterone (a synthetic retroprogesterone) in a premenopausal woman.


2017 ◽  
Vol 11 ◽  
pp. 117954681774664 ◽  
Author(s):  
Christopher J Lafferty ◽  
Kristen M Lafferty ◽  
Tariq Bhat ◽  
Peter C Olson ◽  
Adam Atoot ◽  
...  

Takotsubo cardiomyopathy is a transient apical ballooning of the left ventricle typically with electrocardiographic changes and enzyme release without evidence of obstructive coronary artery disease. It typically occurs in postmenopausal women and may have a predilection for patients with anxiety disorders. The following is a case in which we believe takotsubo cardiomyopathy was induced by the tapering of antianxiety medications. We feel that health care professionals should be aware of this possibility in such a patient population especially when they have demonstrated cardiovascular symptomatology.


2018 ◽  
Vol 7 (5) ◽  
pp. 371-373 ◽  
Author(s):  
Wonhyeong Park ◽  
Jihwan Jung ◽  
Soo Hyun Yang ◽  
Danbi Lee ◽  
Hyo Jeong Kang

Abstract We report a case with hepatitis C virus genotype 1 b liver cirrhosis who received liver transplantation because of acute-on-chronic liver failure during daclatasvir (DSV) and asunaprevir (ASV) combination therapy. To our knowledge, this is the first case received liver transplantation during DSV + ASV therapy. Therefore, clinicians should pay particular attention to the possibility of acute liver failure during DSV and ASV combination therapy.


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