Takotsubo cardiomyopathy after seizure

Rossi, P.; Bernard, F.; Aissi, K.; Bonello, Laurent; Demoux, A.-L.; Bagnères, D.; Francès, Y.; Granel, B.

doi:10.1136/bcr.11.2009.2492

Cited by 4 publications

(3 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most articles were reports about a single case, 5 articles comprised case series [17][18][19][20][21]. In 23 cases, TTS was reported to develop immediately after the seizure and signs of TTS were already present at hospital admission (Table 1) [4][5][6]8,9,13,14,16,[20][21][22][23][24][25][26][27][28][29][30][31][32][33][34]. In the remaining 25 cases, detection of TTS was reported 5-288 (mean 50) hours after the seizure (Table 2) [3,[10][11][12][17][18][19][35][36][37][38][39][40][41][42][43][44][45][46]…”

Section: Resultsmentioning

confidence: 99%

Immediate versus delayed detection of Takotsubo syndrome after epileptic seizures

Stöllberger

Sauerberg

Finsterer

2019

Journal of the Neurological Sciences

View full text Add to dashboard Cite

Takotsubo syndrome(TTS) is often preceded by emotional or physical stress. Epileptic seizures are described in > 100 cases. It is unknown whether patients with immediate and delayed detection of seizure-induced TTS differ.We screened the literature and compared clinical and electrocardiographic (ECG) findings. In 48 cases with seizure-associated TTS, the time between seizure and TTS-detection was reported. Troponin levels were elevated in 37/40. ECG abnormalities were negative T-waves(40%), ST-elevations(33%) and ventricular fibrillation/ flutter(10%). Immediate detection was reported in 23 patients, in the remaining 25 patients, TTS was detected 5-288 h postictally. Patients did not differ in gender, age or symptoms. Negative T-waves were more frequent in patients with delayed detection(64 vs. 13%, p = .0009), whereas ECG-abnormalities suggesting acute myocardial infarction tended to be more prevalent in patients with immediate detection.Due to lack of typical symptoms, seizure-induced TTS can be overlooked. Postictally, an ECG should be recorded and troponin levels measured. New T-wave inversions might indicate seizure-induced TTS.

show abstract

Section: Resultsmentioning

confidence: 99%

Immediate versus delayed detection of Takotsubo syndrome after epileptic seizures

Stöllberger

Sauerberg

Finsterer

2019

Journal of the Neurological Sciences

View full text Add to dashboard Cite

show abstract

“…Takotsubo cardiomyopathy has been found to be associated with physical and emotional triggers. Some of these stressors include pheochromocytoma, myocarditis, psychiatric illnesses, prolonged QT syndromes, COPD exacerbations, albuterol, hyperthyroidism, seizure disorders, electroconvulsive therapy, acute brain injury, and sepsis [6][7][8][9][10][11][12][13][14][15]. For this reason, the syndrome has also been referred to as "stress-induced" cardiomyopathy.…”

Section: Discussionmentioning

confidence: 99%

A Case of Recurrent Takotsubo Cardiomyopathy: Not a Benign Entity

et al. 2018

View full text Add to dashboard Cite

Takotsubo cardiomyopathy is a relatively uncommon condition triggered by severe physical and/or emotional stress. It is characterized by transient ventricular wall dysfunction in the absence of coronary artery disease (CAD). Herein, we report a case of a 59-year-old female who had three episodes of recurrent Takotsubo cardiomyopathy. On each occasion, she presented with symptoms of acute coronary syndrome accompanied by left ventricular wall motion abnormalities; however, repeat cardiac catheterization failed to show CAD. Each recurrence resulted in resolution of her symptoms and recovery of left ventricular function. While emotional triggers were identified, on two occasions, the patient presented with ventricular fibrillation for which an implantable cardioverter defibrillator (ICD) was ultimately placed. We encourage clinicians to no longer look at Takotsubo cardiomyopathy as a benign, reversible disease process, but rather as a pathological entity with real, life-threatening complications that may be managed with ICD placement.

show abstract

“…The epilepsy is often poorly described in these TKS cases. At least 18 patients suffered from focal epilepsy related to vascular (13 cases 8,12,[15][16][17][18][19][20][21][22][23] or post-traumatic (3 cases 11,12,24 ) lesions, mesio-temporal sclerosis (2 cases 2,25 ), meningioma (1 case 12 ), or delayed post-surgery (1 case 26 ). Generalised seizures were related to hyponatremia (4 cases 10,14,27,28 ) alcoholism (8 cases 10,14,19,23,29,30 ) and electroconvulsive therapy (ECT) (3 cases [31][32][33] ).…”

Section: Introductionmentioning

confidence: 99%

Takotsubo syndrome (TKS): A possible mechanism of sudden unexplained death in epilepsy (SUDEP)

Dupuis

Rijckevorsel

Evrard

et al. 2012

Seizure

View full text Add to dashboard Cite

We report a case of Takotsubo syndrome after epilepsy, and review the literature. We identified 59 cases of Takotsubo syndrome after focal or generalised epilepsy. As in Takotsubo syndrome in general, the patients were mostly female (84%), with a mean age of 63 years, and the evolution was generally favourable. There was one death and one stroke, and 4 cases were of relapsing Takotsubo after a new seizure. Takotsubo syndrome may induce cardiac arrhythmias. A near-SUDEP (sudden unexplained death in epilepsy) was reported in one patient. Animal models of SUDEP have shown similar cardiac lesions to those seen in Takotsubo syndrome, and strengthen the hypothesis of a link between these conditions. Takotsubo syndrome after epilepsy may be relatively common; we suggest measurement of serum troponin levels in high-risk patients and cardiac follow-up.

show abstract

Takotsubo cardiomyopathy after seizure

Cited by 4 publications

References 3 publications

Immediate versus delayed detection of Takotsubo syndrome after epileptic seizures

Immediate versus delayed detection of Takotsubo syndrome after epileptic seizures

A Case of Recurrent Takotsubo Cardiomyopathy: Not a Benign Entity

Takotsubo syndrome (TKS): A possible mechanism of sudden unexplained death in epilepsy (SUDEP)

Contact Info

Product

Resources

About