Extracorporeal Membrane Oxygenation in a Patient with Stress-Induced Cardiomyopathy after Caesarean Section

Jo, Youn Yi; Park, S.; Choi, Yong Seok

doi:10.1177/0310057x1103900524

Cited by 29 publications

(10 citation statements)

References 18 publications

(20 reference statements)

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“…The patient was successfully managed with extracorporeal life support [19]. Similarly, other two cases of TTC secondary to cesarean section, were managed successfully with ECMO therapy [20,21]. Unlike the aforementioned cases, our patient went into cardiac arrest, and the ECMO had to be implanted in the ED, in order to prevent an otherwise unavoidable demise.…”

Section: Discussionmentioning

confidence: 90%

Medication-induced Takotsubo Cardiomyopathy presenting with cardiogenic shock—utility of extracorporeal membrane oxygenation (ECMO): case report and review of the literature

Rojas-Marte

John

Sadiq

et al. 2015

Cardiovascular Revascularization Medicine

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Section: Discussionmentioning

confidence: 90%

Medication-induced Takotsubo Cardiomyopathy presenting with cardiogenic shock—utility of extracorporeal membrane oxygenation (ECMO): case report and review of the literature

Rojas-Marte

John

Sadiq

et al. 2015

Cardiovascular Revascularization Medicine

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“…Eleven cases were excluded from the present analysis due to inadequate data for the diagnosis of P‐TCM (eight cases), or complications such as pheochromocytoma and bromocriptine‐induced coronary spasm (three cases). Thus, a total of 18 cases (Table ) were analyzed in this study …”

Section: Discussionmentioning

confidence: 99%

Takotsubo cardiomyopathy after cesarean: A case report and published work review of pregnancy‐related cases

Minatoguchi

Itakura²,

Takagi

et al. 2014

J of Obstet and Gynaecol

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Takotsubo cardiomyopathy (TCM) primarily affects postmenopausal women and is an important differential diagnosis of acute coronary syndrome. We describe a rare case of post-partum TCM, and present a published work review of the cases of pregnancy-associated TCM. A 24-year-old Japanese woman pregnant with twins suffered from premature membrane rupture at 31 gestational weeks. Following emergency cesarean delivery, she complained of sudden dyspnea. Transthoracic echocardiography revealed an inverted Takotsubo pattern (ejection fraction, 46%). On post-delivery day 8, wall motion abnormalities subsided, and she was discharged on post-delivery day 16. We reviewed 18 relevant cases of peripartum TCM from the published work. Among them, 16 cases were post-partum and two cases occurred during pregnancy. Most women (81%) underwent cesarean delivery, and the first symptoms of TCM appeared during surgery in 38% of the cases. The dominant symptoms were chest pain (44%) and dyspnea (28%). Most cases (94%) exhibited electrocardiogram abnormalities, including ST changes and T-wave inversion. Serum levels of cardiac enzymes were abnormally high in 92% of the cases. Repeated echocardiography documented normalized left ventricular systolic function within 6 months in all cases. This case and review emphasize that TCM may be concealed in post-partum women by symptoms undistinguishable from acute coronary syndrome, peripartum cardiomyopathy or pulmonary thromboembolism, and that echocardiography may be a useful tool to distinguish them.

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“…During the second screening, articles that were not case reports (20), that were not perioperative (25) or did not fulfill the a priori revised Mayo Clinic Criteria (23) were excluded, leaving 93 articles describing 102 patients for the analysis. 13…”

Section: Resultsmentioning

confidence: 99%

Perioperative Takotsubo Cardiomyopathy: A Systematic Review of Published Cases

Agarwal

Bean

Hata

et al. 2017

Semin Cardiothorac Vasc Anesth

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Takotsubo cardiomyopathy (TCM) is a condition that is characterized as a transient ventricular dysfunction in the absence of obstructive coronary artery disease (CAD) and is usually triggered by an acute medical illness or intense physical or emotional stress. Multiple cases of perioperative TCM (pTCM) have been reported from around the world, but a qualitative analysis of these cases has not yet been done. For this systematic review, we searched PubMed for case reports and case series of pTCM published from 1966 to April 2015 with the objective being to evaluate whether differences in demographics, clinical features and outcomes exist between pTCM and nonperioperative (npTCM), as well as to attempt to identify any predictors of the severe form of pTCM, which requires mechanical circulatory support (MCS) devices or leads to death. A total of 93 articles describing 102 cases were retrieved and reviewed. The findings were compared with the analysis of the International Takotsubo Registry by Templin et al and a systematic review of mainly non-perioperative TCM (npTCM) by Gianni et al. Although we were unable to identify definitive risk factors for pTCM, our review suggests that pTCM appears to occur in younger patients and with a lower likelihood of ST segment elevations and T-wave abnormalities than in npTCM. No demographic or clinical factors were identified that were predictive of more severe outcomes. As TCM in general can be a life-threatening event, it would therefore be prudent to consider pTCM within a differential diagnosis in any patient who decompensates in the perioperative period.

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Extracorporeal Membrane Oxygenation in a Patient with Stress-Induced Cardiomyopathy after Caesarean Section

Cited by 29 publications

References 18 publications

Medication-induced Takotsubo Cardiomyopathy presenting with cardiogenic shock—utility of extracorporeal membrane oxygenation (ECMO): case report and review of the literature

Medication-induced Takotsubo Cardiomyopathy presenting with cardiogenic shock—utility of extracorporeal membrane oxygenation (ECMO): case report and review of the literature

Takotsubo cardiomyopathy after cesarean: A case report and published work review of pregnancy‐related cases

Perioperative Takotsubo Cardiomyopathy: A Systematic Review of Published Cases

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