Takotsubo cardiomyopathy in patient with situs viscerum inversus

Cacciotti, Luca; Camastra, Giovanni; Musarò, Salvatore; Spedicato, Patrizia; Beni, Sergio; Martina, Cristina; Passaseo, Ilaria; Lupparelli, Fabrizio; Ansalone, Gerardo

doi:10.2459/jcm.0b013e32833e579c

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…The prevalent regional wall motion abnormalities involved hypokinesis or akinesis of the mid and apical segments of the left ventricle; also one patient with situs viscerum inversus had this features 19. In five patients, there was preserved function of the apex and basal segments with wall motion abnormality that involved the mid-segments.…”

Section: Resultsmentioning

confidence: 95%

Observational study on Takotsubo-like cardiomyopathy: clinical features, diagnosis, prognosis and follow-up

Cacciotti¹,

Passaseo²,

Marazzi

et al. 2012

BMJ Open

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ObjectivesThe present study attempts to identify appropriate elements that may contribute to clarify the broad clinical features (diagnosis, care, complication and prognosis) of Takotsubo-like cardiomyopathy for improving its management.Design studyObservational study.SettingPrimary level of care referred to the emergency department of Vannini Hospital, Rome, Italy.ParticipantsThe study population consisted of 75 patients, 72 of the them were women and 3 were men with a mean age of 71.9±9.6 years.MethodsFrom February 2004 to November 2010, prospectively included 84 consecutive patients diagnosed for suspected Takotsubo-like cardiomyopathy. To be eligible, patients had to meet all the Mayo clinic criteria in the absence of neurological trauma or intracranial haemorrhage. Moreover, those patients that at follow-up still presented alteration of acute phase at ECG and echocardiogram were excluded. Thus, 75 patients comprised the study population. To follow-up 19 patients were lost.ResultsNone of 75 patients died in acute phase. All patients were promptly discharged (8.4±4.4 days), since they recovered their normal functional status without symptoms. Follow-up information was available for 56 patients. At a mean follow-up time of 2.2±2 years (range, 0.1–6.8 years) two octogenarian patients (2.6%) died because of sudden cardiac death and pulmonary embolism, respectively. The Takotsubo-like cardiomyopathy recurred in one patient.ConclusionsThe results of this study support the previous reports about the good prognosis, also in critically ill patients, of Takotsubo-like cardiomyopathy. Further assessment will be needed to determine a careful and sustained follow-up for choosing the best care and foreseeing the recurrences of this emerging condition.

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Section: Resultsmentioning

confidence: 95%

Observational study on Takotsubo-like cardiomyopathy: clinical features, diagnosis, prognosis and follow-up

Cacciotti¹,

Passaseo²,

Marazzi

et al. 2012

BMJ Open

Self Cite

View full text Add to dashboard Cite

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“…The diagnosis of stress cardiomyopathy among CHD patients is extremely rare. It has only been reported twice in dextrocardia, with both patients being situs inversus, and one having Kartagener's syndrome 8,9 . Although patients with dextrocardia and situs inversus typically have normal longevity, it is worth considering as patients with more complex CHD are surviving longer, we will encounter further overlap of CHD and acquired heart disease, namely atherosclerosis, or such as in this exceptional case, stress cardiomyopathy.…”

Section: Discussionmentioning

confidence: 99%