scholarly journals Early Adaptation of Temporary Mechanical Circulatory Support in a Case of Takotsubo Cardiomyopathy Complicated by Cardiogenic Shock after Cardiac Arrest and Prolonged Long QT

2021 ◽  
pp. 1-5
Author(s):  
Anup Solsi

Evidence is limited on the best management strategies to ensure adequate cardiac function after out of hospital cardiac arrest found to be due to ventricular arrhythmia from Takotsubo Cardiomyopathy (TC). With a small number of TC cases subsequently leading to cardiogenic shock with biventricular failure, even less is known regarding optimal treatment approaches. Here, we present a unique case of a middle-aged female brought into the hospital after multiple out of hospital cardiac arrests, likely from TC associated ventricular arrhythmia from acquired long QT syndrome, that went onto develop severe cardiogenic shock with biventricular failure. Although management of cardiogenic shock is typically through inotropes and vasopressors, these medications have adverse effects including decreasing end organ perfusion and increasing myocardial oxygen consumption, potentially making them harmful in TC. The decision was made to treat the patient with temporary mechanical circulatory support using just left-sided Impella CP device, which resulted in dramatic hemodynamic improvement. This case emphasizes how early use of temporary mechanical circulatory support in the form of Impella CP can improve outcomes in patients with severe cardiogenic shock from TC. 2. Keywords: Cardiogenic Shock; Impella CP; Long QT Syndrome; Mechanical Circulatory Support; Takotsubo Cardiomyopathy

Circulation ◽  
1988 ◽  
Vol 77 (5) ◽  
pp. 1149-1161 ◽  
Author(s):  
R F Hanich ◽  
J H Levine ◽  
J F Spear ◽  
E N Moore

2014 ◽  
Vol 2 (1) ◽  
pp. 44-45
Author(s):  
Ahmad Mursel Anam ◽  
Raihan Rabbani ◽  
Farzana Shumy ◽  
M Mufizul Islam Polash ◽  
M Motiul Islam ◽  
...  

We report a case of drug induced torsades de pointes, following acquired long QT syndrome. The patient got admitted for shock with acute abdomen. The initial prolonged QT-interval was missed, and a torsadogenic drug was introduced post-operatively. Patient developed torsades de pointes followed by cardiac arrest. She was managed well and discharged without complications. The clinical manifestations of long QT syndromes, syncope or cardiac arrest, result from torsades de pointes. As syncope or cardiac arrest have more common differential diagnoses, even the symptomatic long QT syndrome are commonly missed or misdiagnosed. In acquired long QT syndrome with no prior suggestive feature, it is not impossible to miss the prolonged QT-interval on the ECG tracing. We share our experience so that the clinicians, especially the junior doctors, will be more alert on checking the QT-interval even in asymptomatic patients. DOI: http://dx.doi.org/10.3329/bccj.v2i1.19970 Bangladesh Crit Care J March 2014; 2 (1): 44-45


2015 ◽  
Vol 26 (10) ◽  
pp. 1155-1156
Author(s):  
GARETH J. PADFIELD ◽  
CHRISTIAN STEINBERG ◽  
JOHN A. YEUNG-LAI-WAH

2014 ◽  
Vol 10 (01) ◽  
pp. 25
Author(s):  
Ju Yee Lim ◽  
Barry Newell ◽  
Vivienne A Ezzat ◽  
Jens Samol ◽  
◽  
...  

A 51-year-old patient was treated with chemotherapy for two synchronous colon cancers and was diagnosed with Lynch syndrome. The patient also suffered a cardiac arrest and was also diagnosed with a long QT syndrome (LQTS) subsequently. This is the first case of a co-existence of Lynch syndrome and LQTS.


2002 ◽  
Vol 13 (9) ◽  
pp. 910-914 ◽  
Author(s):  
SOU YAMAUCHI ◽  
MICHIYASU YAMAKI ◽  
TETSU WATANABE ◽  
KOUICHI YUUKI ◽  
ISAO KUBOTA ◽  
...  

2016 ◽  
Vol 4 (8) ◽  
pp. 789-792 ◽  
Author(s):  
Ibrahim El‐Battrawy ◽  
Michael Behnes ◽  
Martin Borggrefe ◽  
Ibrahim Akin

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