Broken heart as work-related accident: Occupational stress as a cause of takotsubo cardiomyopathy in 55-year-old female teacher – Role of automated function imaging in diagnostic workflow

Abstract

Takotsubo cardiomiopathy (TTC) (known also as "ampulla cardiomyopathy," "apical ballooning" or "broken heart syndrome") is connected with a temporary systolic left ventricular dysfunction without the culprit coronary lesion. Takotsubo cardiomyopathy was first described in 1990 in Japan after octopus trapping pot with a round bottom and narrow neck similar in shape to left ventriculogram in TTC patients. The occurrence of TTC is usually precipitated by a stressful event with a clinical presentation mimicking myocardial infarction: chest pain, ST-T segment elevation or T-wave inversion, a rise in cardiac troponin, and contractility abnormalities in echocardiography. A left ventricular dysfunction is transient and improves within a few weeks. Takotsubo cardiomyopathy typically occurs in postmenopausal women and the postulated mechanism is catecholamine overstimulation. Moreover, the distribution of contractility impairments usually does not correspond with typical region supplied by a single coronary artery. Therefore, the assessment of regional pattern of systolic dysfunction with speckle-tracking echocardiography and automated function imaging (AFI) technique may be important in diagnosis of TTC and may improve our insight into its patophysiology. We described a 55-year-old female teacher with TTC diagnosed after acute psychological stress in workplace. The provoking factor related with occupational stress and pattern of contraction abnormalities documented with AFI technique including basal segments of left ventricle make this case atypical.

Takotsubo cardiomyopathy in the case of 72-year-old teacher after work-related psychological stress. Evolution of left ventricular longitudinal strain – Delayed but complete recovery in automated function imaging (AFI)

“…After this time the patient was asymptomatic according to angina and remained I class according to the New York Heart Association (NYHA). Our case documents the quantitatively delayed but full recovery of severely impaired regional LV function in takotsubo cardiomyopathy (TC), which had started later than the visual and ejection fraction betterment [1][2][3].…”

Profesinis stresas ir jo poveikis mokytojų sveikatai: kiekybinės apklausos duomenys

“…Stresas anaiptol yra ne vienintelė, galbūt ne visada pati stipriausia, bet pakankamai reikšminga daugelio ligų priežastis. Neigiamas streso poveikis sveikatai yra įrodytas daugelyje didelės apimties ir patikimų empirinių studijų [22,26,30,32]. PSO prognozuoja, kad dėl neigiamo streso poveikio netrukus pati grėsmingiausia žmonijai ligų rūšis bus psichikos ligos, nors šiandien kaip didžiausios ir labiausiai išplitę grėsmės iš inercijos vis dar figūruoja onkologinės ir širdies bei kraujagyslių ligos [11].…”

“…6, p. 58-64 DOI: http://doi.org/10.5200/sm-hs.2016.092 VISUOMENĖS SVEIKATA / PUBLIC HEALTH Tada drastiškai krenta darbo našumas ir paslaugų kokybė, dėl ko, savo ruožtu, kyla didžiulė ekonominė žala. Galiausiai ilgalaikis stresas darbe sukelia ligas, įskaitant profesines, apriboja individo galimybes ir gyvenimo kokybę, tampa našta bei iššūkiu visai sveikatos ir socialinės apsaugos sistemoms [2,12,16,17,19,22,26].…”

Burnout and Cardiovascular Risk in Healthcare Professionals During the COVID-19 Pandemic

“…Stress and unfavorable psychosocial working conditions may exacerbate cardiovascular disease in the physician occupational group ( 19 ). Overwork-related mortality can be linked to cerebrovascular illnesses ( 17 ), whereas induced Takotsubo cardiomyopathy has been linked to work-related stress ( 20 , 21 ).…”