Our clinical experience of Takotsubo cardiomyopathy and the first case series from Turkey

Küçükdurmaz, Zekeriya; Karapınar, Hekim; Oflaz, Mehmet Burhan; Gül, İbrahim; Aydın, Gülay; Güneş, Hakan; Yılmaz, Ahmet

doi:10.5543/tkda.2013.53059

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…For these reasons, it is often misdiagnosed as ST-elevation myocardial infarction (STEMI). The correct diagnosis can be made after further investigations by echocardiography or ventriculography with typical hypokinetic and ballooning visualization of the apex of the left ventricle, performing coronary angiography to show normal flow in the coronary arteries, and detecting the absence of late gadolinum involvement in cardiac magnetic resonance imaging, although it is not found in most clinics [12]. Moderate enzyme elevation was observed in all our cases.…”

Section: Discussionmentioning

confidence: 64%

Takotsubo Kardiyomiyopati Üzerine Klinik Deneyimimiz ve Vaka Serimiz

et al. 2022

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Objective In this study we aimed to evaluate the clinical course and prognosis of Takotsubo Cardiomyopathy cases diagnosed and treated in our clinic. Cases Takotsubo Cardiomyopathy was first described in 1990 by Hikaru Sato et al. The reason why it is called Tako-tsubo cardiomyopathy; This is due to the appearance of the left ventricle resembling the narrow-necked, broad-bottomed container used by Japanese fishermen to catch octopuses. In addition to Takotsubo cardiomyopathy, this syndrome is also called ampulla cardiomyopathy, Human stress cardiomyopathy and Broken heart syndrome. In this study, a series of 7 cases of Takotsubo Cardiomyopathy diagnosed and treated in our clinic are presented and the clinical course and prognosis of the disease are examined. Results The age range of the series, consisting of six female and one male patients, ranged from 57 to 81 years (median age 70). All of the female patients were in the postmenopausal period and physical or emotional stress was found in four of them. Moderate-to-moderate cardiac enzyme elevation was found in all of the patients. While noncritical plaques were detected in the angiography of six patients who underwent coronary angiography and ventriculography, one patient had normal coronaries. During the follow-up, in-hospital death due to non-cardiac causes (Acute Myeloblastic Leukemia) was observed in one of the patients. In the echocardiographic follow-up of six surviving patients, it was observed that the LV ejection fraction was normalized and ballooning regressed within two months. Conclusion The awareness of Takotsubo Cardiomyopathy among cardiology physicians in the world and in our country is increasing. However, information about its prevalence, clinical course and short-term prognosis in our country is insufficient. In the study, a new series was presented in addition to the first data of our country. It is thought that there may be some different physical risk factors that have not yet been identified.

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Section: Discussionmentioning

confidence: 64%

Takotsubo Kardiyomiyopati Üzerine Klinik Deneyimimiz ve Vaka Serimiz

et al. 2022

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“…They suggested that the increase in catecholamine levels may trigger this. Küçükdurmaz et al[ 17 ] also reported that four of six patients returned to normal without complications, and two patients admitted with cardiogenic shock and sudden cardiac death died and received cardiopulmonary resuscitation. Deniz et al[ 18 ] reported TTC, which is usually seen in female patients, in a 92-year-old male patient appeared after the operation for a bladder tumor.…”

Section: Discussionmentioning

confidence: 99%

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

Gürol

2021

Turk Gogus Kalp Dama

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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.

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“…Takotsuba cardiomyopathy is a benign clinical condition characterised by chest pain, elevated ST segment on ECG and elevated cardiac enzymes [31]. It is thought to be stress-related.…”

Section: Takotsuba Cardiomyopathymentioning

confidence: 99%

Myocardial Infarction in Children

Bilici¹,

Türe²,

Balık³

2019

Myocardial Infarction

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Myocardial infarction (MI) is a clinical condition that develops associated with a sudden reduction or interruption of the blood flow of the vessels supplying the heart for various reasons. The electrocardiographic, echocardiographic and enzymatic diagnostic criteria of MI have been well defined in adults, in children there are some difficulties. Although seen more often in the presence of congenital heart disease (CHD), MI may also be seen in patients without CHD. Unlike atherosclerotic coronary artery disease in adult patients, ischaemia and infarct in children are often associated with coronary artery anomalies and CHD. In addition, congenital prothrombotic diseases, vasculitis, surgical or interventional procedures may also cause ischaemia and infarct. Subendocardial ischaemia, especially aortic stenosis characterised by hypertrophy in the left ventricle is often seen in hypertrophic cardiomyopathy or hypertensive patients. The most important risk factors in neonates and infants are the presence of CHD, coronary artery anomalies and perinatal asfixia. The most frequently seen causes of pediatric myocardial infarction (PMI) are abnormal left coronary artery originating from the pulmonary artery (ALCAPA) and Kawasaki disease. Another often seen cause of PMI is patients who underwent arterial switch operations.

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Our clinical experience of Takotsubo cardiomyopathy and the first case series from Turkey

Cited by 4 publications

References 21 publications

Takotsubo Kardiyomiyopati Üzerine Klinik Deneyimimiz ve Vaka Serimiz

Takotsubo Kardiyomiyopati Üzerine Klinik Deneyimimiz ve Vaka Serimiz

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

Myocardial Infarction in Children

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