Left Ventricular Dysfunction in the Setting of Takotsubo Cardiomyopathy: A Review of Clinical Patterns and Practical Implications

Stress Induced Cardiomyopathy (Takotsubo) in a Post-Operative Pregnancy Induced Hypertension Patient Operated for Caesarean Section: A Case Report

“…Regional anaesthesia is considered the best and most effective technique for such patients, despite the lack of evidence. Because of the reduced stress response, proper anxiolytic premedication before surgery results in a lower incidence of surgical site infection and up to 30 days after surgery [17][18][19][20].…”

Reversible left ventricular diastolic dysfunction—Overview and clinical implications

“…Of note, none of these patients exhibited any evidence of fibrosis on cardiac magnetic resonance (CMR). These abnormalities are likely to explain persistent alterations in LV diastolic function observed in some patients after the acute phase and to provide a partial explanation for limited exercise capacity in these patients 22,29 . Moreover, they suggest persistent changes in myocardial structure and function in a condition considered until recently as a fully reversible form of acute cardiomyopathy 26 …”

“…Acute LVDD has been reported in more than 50% of patients with TTS and is generally considered to develop in association with wall‐motion abnormalities 22,23 …”

Plasma Histone H4 and Its Implications in the Setting of Sepsis-related Myocardial Dysfunction

“…One such particular condition, namely physicallytriggered takotsubo cardiomyopathy (TTC) (a well-known phenomenon presenting with reversible and specific segmentary wall motion abnormalities (apical ballooning, etc.) associated with hyperadrenergic myocardial stunning and also emerging in the setting of high inflammatory states) (5,6) should also be considered as a differential diagnosis within the context of sepsis-induced myocardial dysfunction. Importantly, it should be borne in mind that, unlike cases with TTC, most patients with S-CMP present with a global ventricular dysfunction.…”

“…Within this context, patients with segmental wall motion abnormalities on TTE, together with relatively lower histone H4 levels, might strongly suggest an existing TTC rather than S-CMP. Importantly, cases highly suggestive of TTC should not be treated with sympathomimetic agents including noradrenaline, etc., due to their detrimental effects on myocardial functional recovery (6). Arginine-vasopressin infusion (terlipressin, etc.)…”