Out-of-hospital cardiac arrest caused by transient left ventricular apical ballooning syndrome

Raddino, Riccardo; Pedrinazzi, Claudio; Zanini, Gregoriana; Robba, Debora; Portera, Cinzia; Bonadei, Ivano; Vizzardi, Enrico; Dei, Livio

doi:10.1016/j.ijcard.2007.05.067

Cited by 23 publications

(18 citation statements)

References 10 publications

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“…Die berichtete Inzidenz von malignen ventrikulären Tachykardien liegt zwischen 1,5% und 15% [1,8,27,42]. Aufgrund der Tatsache, dass sich eine TTC als plötzlicher Herztod manifestieren kann [43,44], ist es möglich, dass die in den vorliegenden Fallserien berichtete Inzidenz maligner Arrhythmien und einer daraus resultierenden Mortalität unterschätzt wird [42].…”

Section: Rhythmusstörungenunclassified

Patientenversorgung in der akuten Phase der stressinduzierten Kardiomyopathie (Tako-Tsubo-Kardiomyopathie) – und danach?

Kurowski

Radke

Schunkert

et al. 2010

Herz

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The prognosis of patients presenting with Tako-Tsubo cardiomyopathy (TTC) is generally considered to be favorable. However, in the acute phase of the disorder complications are not infrequent and, therefore, continuous monitoring and consistent therapy in an intensive care unit is essential. Typical complications in patients with TTC are cardiogenic shock, obstruction of the left ventricular outflow tract (LVOT), occasionally accompanied by acute mitral regurgitation, arrhythmias, predominantly torsade de pointes tachycardias due to QT prolongation, left ventricular (LV) thrombus formation with or without consecutive thromboembolic events, and LV rupture. After confirmation of TTC by coronary angiography, repeat echocardiography should be performed. A standardized therapy for patients with TTC has so far not been established. Recommendations for the acute phase include the administration of anxiolytic agents for patients who present with preceding emotional stress, consistent therapy of physical stressors (such as pain or asthma) and avoidance of catecholamine therapy. Shock due to LVOT obstruction is treated by administration of volume and β-blockers. With respect to the occurrence of torsade de pointes tachycardias, drugs which might cause QT prolongation should not be given. The notable incidence of LV thrombus formation justifies therapeutic anticoagulation. Systematic studies and treatment recommendations for the prophylaxis of recurrent TTC do not exist. The recently reported association between TTC and malignant disorders should prompt tumor screening and subsequent preventive medical checkups in patients affected by TTC.

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Section: Rhythmusstörungenunclassified

Patientenversorgung in der akuten Phase der stressinduzierten Kardiomyopathie (Tako-Tsubo-Kardiomyopathie) – und danach?

Kurowski

Radke

Schunkert

et al. 2010

Herz

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“…Beyond the Mayo Clinic criteria, at least others six features make to think to CA caused by SC in our patient: 1 There was a physical stress event in our case, that usually is found in SC [2]. 2 CA caused by VA are described in SC [3,4] and we believe the mechanism of CA, in our case, could be a VA. 3 The SC usually occurs in postmenopausal women [2,5], but has been described still in premenopausal period [6,7]. 4 The development, in our case, of diffuse T-wave inversion that involves most leads and prolongation of the QT interval is found in SC [2].…”

Section: Discussionmentioning

confidence: 57%

“…However, even if CA has been probably caused by the BS, we hypothesize that the CA, in its turn determined, might have caused the SC via stress mechanisms (as reflected by the increased values of plasmatic catecholamines). In few words, the CA is a complication of SC [3,4], but should probably be regarded also as a cause of SC.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Arrest caused by Barlow's Syndrome or by Stress Cardiomyopathy?

Facciorusso

Amico

Vigna

et al. 2010

International Journal of Cardiology

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“…The presence of these minor necrotic changes could have a role in the development of arrhythmias, a frequently described problem in these patients and the most frequent cause of cardiac-related death, as shown by the 4-Year Prognosis of Apical Ballooning Syndrome published by Elesber et al [23,24]. In that particular study, the majority of arrhythmic events occurred during the acute phase but not during the follow-up period.…”

Section: Discussionmentioning

confidence: 88%