Left ventricular function after takotsubo is not fully recovered in long-term follow-up: A speckle tracking echocardiography study

Nowak, Radosław; Fijałkowska, Marta; Gilis‐Malinowska, Natasza; Jaguszewski, Miłosz; Gałąska, Rafał; Rojek, Agnieszka; Gruchała, Marcin; Fijałkowski, Marcin

doi:10.5603/cj.a2017.0001

Cited by 19 publications

(19 citation statements)

References 39 publications

(59 reference statements)

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“…3) Reversibility of cardiac dysfunction is one of the most important characteristics of this disease, although recent studies have shown subtle long-term clinical and echocardiographic consequences even after 6 to 12 months. [4][5][6] Complete recovery of left ventricular ejection fraction (LVEF) and regional wall motion abnormalities within 1 month have been reported. [6][7][8] Two-dimensional speckle tracking echocardiography (2D STE) is a valuable tool in evaluation of global and regional LV function and appears to be more sensitive than traditional echocardiography for detection of subtle myocardial abnormalities.…”

Section: Introductionmentioning

confidence: 99%

Time Course of Functional Recovery in Takotsubo (Stress) Cardiomyopathy: A Serial Speckle Tracking Echocardiography and Electrocardiography Study

Lee

2020

J Cardiovasc Imaging

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BACKGROUND: Although rapid recovery of cardiac contraction is a hallmark of Takotsubo cardiomyopathy (TTC), the time course of recovery is still ill-defined. We aimed to investigate the time course of left ventricular (LV) functional recovery using 2D speckle tracking echocardiography and electrocardiography (ECG). METHODS: Thirty-two consecutive patients (65 ± 16 years, 26 women) with TTC were prospectively recruited. ECG and echocardiography were performed at baseline (No. 1), before discharge (No. 2), and at 1 week (No. 3) and 5 weeks (No. 4) after discharge. Echocardiographic images and ECGs were analyzed to measure ejection fraction (LVEF), global and regional longitudinal strain (GLS, RLS), and T wave inversion (TWI) scores.

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Section: Introductionmentioning

confidence: 99%

Time Course of Functional Recovery in Takotsubo (Stress) Cardiomyopathy: A Serial Speckle Tracking Echocardiography and Electrocardiography Study

Lee

2020

J Cardiovasc Imaging

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“…Complete recovery of ventricular function and normalization of segmental kinetic disorders is generally seen within eight weeks [ 16 ]. More recent studies using two-dimensional echocardiography suggest that ventricular recovery may not be complete [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Association of Acute Pancreatitis and Myocardial Infarction: Is the Heart Victim or Culprit? – A Case Report and Review of the Literature

Mouedder¹,

Ouazzani²,

Elouafi³

et al. 2020

Cureus

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Acute pancreatitis can be associated with electrical changes mimicking acute coronary syndrome with normal coronary arteries. The association of acute pancreatitis with ST-segment elevation and elevated cardiac enzymes has been reported in few observations. The pathophysiological mechanisms of this association remain poorly understood. We report the case of a 63-year-old woman presenting with chest pain, changes in the electrocardiogram and elevated cardiac enzymes with normal coronary arteries associated with acute pancreatitis. Stress cardiomyopathy or Takotsubo syndrome associated with acute pancreatitis was the most likely diagnosis in our case. Stress cardiomyopathy should be considered a possibility in case of patients with acute pancreatitis who present with clinical signs suggestive of acute coronary syndrome.

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“…[20] There are studies found that left ventricular contractility is not fully recovered after normalization of left ventricular ejection fraction. [21] Therefore, it is suggested that conventional echocardiography combined with myocardial deformation analysis should be used to assess cardiac function in TTS because the diagnosis needs serial evaluation. [22]…”

Section: Discussionmentioning

confidence: 99%

Tension pneumothorax-induced Takotsubo syndrome

Chen

Hung²

2019

Medicine

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Rationale: Takotsubo syndrome (TTS) is a form of acute and usually reversible heart failure syndrome. Transient left ventricular dysfunction and electrocardiographic changes could mimic acute coronary syndrome but there are actually no obstructive coronary lesions. Patient concerns: A 76-year-old woman with chronic lung disease developed spontaneous tension pneumothorax with the presentation of severe dyspnea, respiratory failure, left ventricular dysfunction, and anterior wall ST-segment elevation on 12-lead electrocardiogram. Acute coronary syndrome was excluded by normal coronary angiograms. Diagnosis: The patient was diagnosed as tension pneumothorax complicated by TTS. Interventions: The woman underwent tubal thoracostomy for tension pneumothorax-induced obstructive shock. However, the patient further underwent ligation bullectomy for persistent air leakage 2 weeks later. Outcomes: The left ventricular dysfunction recovered 1 week after resolution of tension pneumothorax. Anterior wall ST-segment elevation resolved 25 days after admission. Lessons: Concurrent electrocardiograms and echocardiographic serial evaluations should be performed to provide more comprehensive information when dealing with tension pneumothorax patients.

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Left ventricular function after takotsubo is not fully recovered in long-term follow-up: A speckle tracking echocardiography study

Abstract: Background: Complete improvement of left ventricle (LV) systolic function is an essential feature of takotsubo cardiomyopathy (TTC p = 0.008 (Cardiol J 2017; 24, 1: 57-64)

Cited by 19 publications

References 39 publications

Time Course of Functional Recovery in Takotsubo (Stress) Cardiomyopathy: A Serial Speckle Tracking Echocardiography and Electrocardiography Study

Time Course of Functional Recovery in Takotsubo (Stress) Cardiomyopathy: A Serial Speckle Tracking Echocardiography and Electrocardiography Study

Association of Acute Pancreatitis and Myocardial Infarction: Is the Heart Victim or Culprit? – A Case Report and Review of the Literature

Tension pneumothorax-induced Takotsubo syndrome

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