Broken Heart Syndrome in a Patient on Maintenance Hemodialysis

Bhogal, Sukhdeep; Ladia, Vatsal; Sitwala, Puja; Bajaj, Kailash; Ramu, Vijay; Paul, Timir K.

doi:10.1177/2324709617713512

Cited by 3 publications

(4 citation statements)

References 19 publications

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“…TTC, also known as apical ballooning syndrome, broken heart syndrome, or stress-induced cardiomyopathy, is caused by intense emotional or physical, or metabolic stressors and is characterized by transient, often with reversible, left ventricular systolic dysfunction usually in the absence of obstructive coronary disease on coronary angiography [4]. TTC has been identified as one of the cardiovascular complications of COVID-19 [5].…”

Section: Discussionmentioning

confidence: 99%

COVID-19-Induced Takotsubo Cardiomyopathy With Concomitant Pulmonary Embolism

Namburu¹,

Bhogal²,

Ramu³

2021

Cureus

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Coronavirus disease 2019 , which is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has emerged as a global pandemic with an unprecedented death toll worldwide. Although it primarily affects the respiratory tract presenting as pneumonia or acute respiratory failure, it is also known to cause significant cardiovascular complications, including acute coronary syndrome (ACS), arrhythmia, myopericarditis, cardiomyopathy, venous thromboembolism, heart failure, and cardiogenic shock. Morbidity and mortality secondary to cardiovascular complications are higher in patients with preexisting cardiovascular risk factors. Here, we present a case report of a 69-year-old male who was recently diagnosed with COVID-19 illness presenting with ST-elevation myocardial infarction (STEMI) and eventually with Takotsubo cardiomyopathy (TTC), and the course was complicated by right atrial thrombus and a pulmonary embolism (PE).

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Section: Discussionmentioning

confidence: 99%

COVID-19-Induced Takotsubo Cardiomyopathy With Concomitant Pulmonary Embolism

Namburu¹,

Bhogal²,

Ramu³

2021

Cureus

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“…This pathophysiologic substrate combined with mental stress and depressive mood disorders, which are often present in these patients, may be the precipitating factors for TC. [25] According to another theory, TS is caused by oxidative stress. More specifically, hemodialysis leads to loss of antioxidant factors and causes disturbance in the balance between oxidative and antioxidant factors resulting in the influence of the contractibility of the heart.…”

Section: Discussionmentioning

confidence: 99%

“…Takotsubo syndrome (TS) is typically characterized by transient (reversible) systolic dysfunction of the apical and mid segments of the left ventricle (LV), usually without obstruction of coronary arteries, in postmenopausal women after a stressful event. [1234] It is also known as left ventricular apical ballooning syndrome, broken heart syndrome, or stress-induced cardiomyopathy. TS was first described in Japan in 1990 and owes its name to ancient Japanese traps for octopus.…”

Section: Introductionmentioning

confidence: 99%

Takotsubo Syndrome during Haemodialysis

et al. 2019

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Takotsubo syndrome (TS) is typically characterized by transient (reversible) systolic dysfunction of the apical and mid segments of the left ventricle (LV), usually without obstruction of coronary arteries, in postmenopausal women after a stressful event. Usually, patients may experience symptoms such as chest pain, shortness of breath, palpitations, and rarely syncope or cardiogenic shock. There are many theories about pathophysiology of TS. Among these, most acceptable is the catecholamine theory. The prognosis is usually good with recovery of symptoms and imaging findings at most within a few weeks. However, complications may occur. We present the 11th published case of a patient on hemodialysis, who presented with TS and discuss why this situation may occur in patients on hemodialysis. Contrary to our patient, half of previously published cases presented with atypical symptoms. Therefore, it is important to be alert in order to timely diagnose, support the patient, and treat if any complications appear.

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“…[2,3] Sekitar 1-2% kasus sangkaan acute coronary syndrome (ACS) merupakan kasus BHS. [4,5] Sebagian besar (96%) kasus BHS, fungsi dari ventrikel kiri umumnya akan kembai normal dalam beberapa minggu. Mortalitas dari kasus BHS mencapai 2-5% dengan penyebab kematian utama dikarenakan shok kardiogenik dan ventrikular fibrilasi.…”

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Broken Heart Syndrome: Berawal dari Stres Menuju Gagal Jantung

Sukma

Balatif

2022

SCRIPTA SCORE Sci Med J

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Background: When stress conditions can be the root of various diseases, one of which is Broken Heart Syndrome (BHS). It is estimated that 90% of cases of BHS occur in women who have entered postmenopause. The mortality from BHS cases is quite high, reaching 2-5% with the main cause of death due to cardiogenic shock and ventricular fibrillation. Objective: To provide the latest information about BHS from various literatures. Methods: Writing this article using a literature searching method. Search for articles using the help of search engines in the form of Google Scholar, Pubmed and Clinicalkey with articles that have been published in the last 10 years and in English. Discussion: Prolonged physical stress conditions can trigger BHS. Risk factors associated with BHS conditions include age over 55 years, smoking, excessive alcohol consumption, a history of anxiety and hyperlipidemia. Complications can occur in 52% of cases of BHS. Mortality in BHS cases tended to be higher in BHS cases that was triggered by physical factors than that triggered by emotional factors. Conclusion: BHS is a condition that occurs after emotional stress or physical stress, so controlling the stress triggers is expected to prevent the occurrence of BHS. Keywords: broken heart syndrome, stress, heart failure Latar belakang: Kondisi stres saat dapat menjadi akar dari berbagai macam penyakit salah satunya Broken Heart Syndrome (BHS). Diperkirakan 90% kasus BHS terjadi pada perempuan yang sudah memasuki postmenopause. Mortalitas dari kasus BHS cukup tinggi yakni mencapai 2-5% dengan penyebab kematian utama dikarenakan shok kardiogenik dan ventrikular fibrilasi. Tujuan: Memberikan informasi terkini seputar BHS dari berbagai literatur. Metode: Penulisan artikel ini menggunakan metode literature searching. Pencarian artikel menggunakan bantuan mesin pencari berupa Google Scholar, Pubmed, dan Clinicalkey dengan artikel yang telah dipublikasikan dalam 10 tahun terakhir dan berbahasa Inggris. Pembahasan: Kondisi stres fisik yang berkepanjangan dapat mencetuskan BHS. Faktor risiko yang berkaitan dengan kondisi BHS berupa usia diatas 55 tahun, merokok, konsumsi alkohol berlebih, riwayat ansietas dan hiperlipidemia. Komplikasi dapat terjadi pada 52% kasus BHS. Mortalitas pada kasus BHS cenderung lebih tinggi pada kasus BHS yang dipicu oleh faktor fisik dibandingkan yang dipicu oleh faktor emosi. Kesimpulan: BHS ini adalah kondisi yang timbul pasca stres emosional atau fisik sehingga dengan mengendalikan faktor pencetus stres ini diharapkan dapat mencegah terjadinya BHS. Kata Kunci: broken heart syndrome, stres, gagal jantung

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Broken Heart Syndrome in a Patient on Maintenance Hemodialysis

Cited by 3 publications

References 19 publications

COVID-19-Induced Takotsubo Cardiomyopathy With Concomitant Pulmonary Embolism

COVID-19-Induced Takotsubo Cardiomyopathy With Concomitant Pulmonary Embolism

Takotsubo Syndrome during Haemodialysis

Broken Heart Syndrome: Berawal dari Stres Menuju Gagal Jantung

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