Don't Break My Heart: A Case Report of Takotsubo Syndrome in a Transplanted Heart

Damera, Nihanth; Bangalore, Bhavana Siddegowda; Rao, Roopa A.; Saleem, Kashif

doi:10.1016/j.transproceed.2022.03.050

Cited by 2 publications

(8 citation statements)

References 11 publications

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“…The angiography findings were normal in all patients. Significant recovery of LVEF was reported days and/or weeks after discharge from these patients in six studies 13,17,[22][23][24][25] .…”

Section: Takotsubo Cardiomyopathy and Epilepsymentioning

confidence: 98%

“…In six articles, patients presenting with sinus rhythm were described, two of them with the presence of tachycardia 13,15,16,[21][22][23] . T-wave inversion in patients was present in five studies 13,15,17,21 .…”

Section: Clinical Features Of Epileptic Seizures and Electrocardiogra...mentioning

confidence: 98%

“…In two articles, cardiologic changes in patients appeared within the first 48 hours after neurologic events 13,14 . Two case reports presented the development of Takotsubo cardiomyopathy in patients undergoing heart transplantation within approximately 1-year post-surgery 16,17 ; in one of them, the donor himself had previously manifested the cardiomyopathy 16 .…”

Section: Clinical Features Of Epileptic Seizures and Electrocardiogra...mentioning

confidence: 99%

“…In nine articles some kind of change in transthoracic echocardiography was reported: seven of them had hypokinesia 13,15,19,20,22 , two akinesia 18,24 , one with posterior wall akinesia and septal wall dyskinesia 25 and two had hyperkinetic basis associated with hypokinesia and/or akinesia 17,21 .…”

Section: Clinical Features Of Epileptic Seizures and Electrocardiogra...mentioning

confidence: 99%

“…Takotsubo cardiomyopathy related to neurological disorders such as epilepsy was associated with higher rates of adverse events. Examples include ventricular fibrillation, cardiac arrest, cardiogenic shock, septic shock 15,17,26 , increased ICU admissions 13,14,24,25 , higher in-hospital mortality 15,26 and increased all-cause readmissions 26 .…”

Section: Takotsubo Cardiomyopathy and Epilepsymentioning

confidence: 99%

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Epilepsy and Takotsubo cardiomyopathy: a scope review

Laguna

Fonseca²,

Mascarenhas³

et al. 2023

Rev Neurocienc

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Introduction. The incidence of sudden death is high in people with chronic epilepsy, especially in the presence of cardiovascular comorbidities, thus, there is a convergence between epilepsy and cardiovascular diseases, however the literature fails on systematic reviews analyzing the interface between epilepsy and Takotsubo cardiomyopathy. Objective. To verify the association between Takotsubo cardiomyopathy and neurological disorders, especially epilepsy. Method. This is a scope review, based on the PRISMA checklist. An advanced and high-sensitivity search was performed using the descriptors "epilepsy" and "Takotsubo cardiomyopathy" combined with the Boolean operator AND, in PubMED, Scientific Electronic Library Online, Portal Regional Biblioteca in Health, and CAPES Periodicals. Results. A total of 373 articles were identified and after applying the eligibility criteria, 14 works were selected to compose the bibliographic sample of this study. It demonstrates the relationship of people with epilepsy developing Takotsubo cardiomyopathy, especially women with advanced age, with comorbidities such as arterial hypertension, diabetes mellitus and hypercholesterolemia, and changes could be evidenced through electrocardiogram and transthoracic echocardiogram. Conclusion. ST-segment depression in the anterior wall and T-wave inversion on the electrocardiogram may suggest Takotsubo cardiomyopathy in people with epilepsy, and this monitoring is important because of the potential for seizures to lead to cardiac conditions. Transthoracic echocardiography is useful for identifying adverse events in people with the comorbidity. Knowledge about epidemiology and the complementary findings described can facilitate clinical reasoning for the diagnosis and management of the condition.

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Section: Takotsubo Cardiomyopathy and Epilepsymentioning

confidence: 98%

Section: Clinical Features Of Epileptic Seizures and Electrocardiogra...mentioning

confidence: 98%

Section: Clinical Features Of Epileptic Seizures and Electrocardiogra...mentioning

confidence: 99%

Section: Clinical Features Of Epileptic Seizures and Electrocardiogra...mentioning

confidence: 99%

Section: Takotsubo Cardiomyopathy and Epilepsymentioning

confidence: 99%

See 3 more Smart Citations

Epilepsy and Takotsubo cardiomyopathy: a scope review

Laguna

Fonseca²,

Mascarenhas³

et al. 2023

Rev Neurocienc

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Takotsubo cardiomyopathy after solid organ transplantation: a scoping review

Rawashdeh,

Yaghmour,

Sulieman

et al. 2024

Annals of Medicine &Amp; Surgery

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Takotsubo syndrome (TTS) is a stress-induced cardiomyopathy that causes temporary left ventricular wall motion abnormalities and abrupt reversible heart failure. The incidence of perioperative TTS is proportional to the severity of surgical trauma, the duration of the procedure, and the degree of apparent sympathetic activity. A growing number of articles have discussed TTS after solid organ transplant (SOT), which is one of the circumstances in which physical and emotional stress are at their highest levels. The majority of published cases involved patients who had received an orthotopic liver transplant (OLT). TTS occurred in 0.3-1.7% of liver transplant recipients, but a limited number of cases of TTS in patients who had received kidney, heart, or lung transplants have also been documented. In this study, we analyzed the TTS instances that developed after SOT, highlighting the symptoms and causes as well as the various treatment approaches that were applied. Most TTS cases following OLT and kidney transplant cases occurred in the first week of the surgery. However, the majority of cases occurred years after heart transplantation. Dizziness, dyspnea, and chest discomfort are the most typical symptoms. Patients may also experience syncope and generalized weakness. In spite of this, the symptoms differ depending on the transplanted organ. Dyspnea is a common symptom after lung transplants, whereas chest discomfort and dizziness are a common symptom after liver and kidney transplants. Yet, chest pain is not a typical symptom after a heart transplant.

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Don't Break My Heart: A Case Report of Takotsubo Syndrome in a Transplanted Heart

Cited by 2 publications

References 11 publications

Epilepsy and Takotsubo cardiomyopathy: a scope review

Epilepsy and Takotsubo cardiomyopathy: a scope review

Takotsubo cardiomyopathy after solid organ transplantation: a scoping review

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