Takotsubo cardiomyopathy triggered by delirium tremens in a cirrhotic patient with acute-on-chronic liver failure: A case report

Hedjoudje, Abdellah; Cervoni, Jean–Paul; Patry, Cyrille; Chatot, Marion; Faivre, M.; Thévenot, Thierry

doi:10.1016/j.clinre.2019.11.010

Cited by 3 publications

(5 citation statements)

References 22 publications

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“…Clinically, TC manifests itself early, simulating myocardial infarction with chest pain, dyspnea, and syncope. Still, the absence of coronary pathology on angiographic examination helps to differentiate the two pathological entities [ 46 , 84 , 86 , 88 , 89 ].…”

Section: Discussionmentioning

confidence: 99%

“…We know that both liver disease and elevated catecholamines are related to alcohol abuse; furthermore, in the studies analyzed, there are case reports of the onset of Takostubo cardiomyopathy in subjects with liver transplantation [ 46 , 85 , 86 , 87 ], acute pancreatitis [ 47 , 48 ], liver cirrhosis [ 48 , 89 ], and cardiogenic shock [ 90 ]. A pathogenetic role of alcohol in Takostubo syndrome is possible, considering that in the cases described above, the pathologies connected to the onset of Takostubo cardiomyopathy are, in turn, connected to a positive history of alcohol abuse.…”

Section: Discussionmentioning

confidence: 99%

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A Comprehensive Review on Alcohol Abuse Disorder Fatality, from Alcohol Binges to Alcoholic Cardiomyopathy

Argo,

Pitingaro,

Puntarello

et al. 2024

Diagnostics

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Frequent and excessive consumption of alcohol, be it episodic or sustained misuse, ranks among the top causes of mortality globally. This comprehensive analysis seeks to elucidate how alcohol misuse precipitates death, with a particular focus on associated cardiac anomalies. Notably, the phenomenon of “Holiday Heart Syndrome”, linked to binge drinking, is recognized for inducing potentially fatal cardiac arrhythmias. Moreover, persistent alcohol consumption is implicated in the development of alcoholic cardiomyopathy, a condition that underlies heart failure and arrhythmic disturbances of the heart. Additionally, individuals undergoing withdrawal from alcohol frequently exhibit disruptions in normal heart rhythm, posing a risk of death. This review further delves into additional alcohol-related mortality factors, including the heightened likelihood of hypertension, cerebrovascular accidents (strokes), and the connection between excessive alcohol use and Takotsubo syndrome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Comprehensive Review on Alcohol Abuse Disorder Fatality, from Alcohol Binges to Alcoholic Cardiomyopathy

Argo,

Pitingaro,

Puntarello

et al. 2024

Diagnostics

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show abstract

“…Although there is no consensus on the diagnostic criteria for TTS, the diagnostic criteria proposed by the Mayo Clinic have been widely accepted, [ 1 ] which encompass the following features [ 4 ] :…”

Section: Discussionmentioning

confidence: 99%

“…Takotsubo syndrome (TTS), which is also known as Takotsubo cardiomyopathy or broken heart syndrome, is reversible cardiomyopathy that was first reported in 1990 in the Japanese population. [ 1 ]…”

Section: Introductionmentioning

confidence: 99%

“…Accounting for approximately 2% of all cases of suspected acute myocardial infarction (AMI), TTS is characterized by recovery of wall motion abnormalities and acute left ventricular dysfunction, which are often caused by acute physical or emotional stressors that result in excessive catecholamine release. [ 1 , 2 ] Emotional and physical factors may trigger TTS. Emotional triggers include negative events such as bereavement of a close relative, disasters, bullying, and financial loss; and positive events include attending a wedding or birthday party, or winning the lottery.…”

Section: Introductionmentioning

confidence: 99%

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Takotsubo syndrome triggered by change in position in a patient with thoracic vertebral fracture

Zhang¹,

Kong²,

Zhang

et al. 2021

Medicine

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Rationale: Takotsubo syndrome (TTS) is characterized by recovery of wall motion abnormalities and acute left ventricular dysfunction, which are often caused by acute physical or emotional stressors. It is rarely reported that TTS can be precipitated by change in position in the patient in the operating room. We report a case of a patient with a thoracic vertebral fracture who presented with TTS precipitated by changing from a supine to a prone position before percutaneous kyphoplasty (PKP) under local anesthesia. Patient concerns: A 76-year-old man who was diagnosed with a fracture in a thoracic vertebra was sent to the operating room to undergo PKP under local anesthesia. Approximately 5 minutes after changing from a supine to a prone position, which is necessary for PKP, the patient experienced chest pain, headache, and sweating. Diagnosis: A fracture in a thoracic vertebra; TTS. Interventions: As a result of 12-lead electrocardiography, echocardiography, left ventriculogram, and cardiac catheterization, the diagnosis of TTS was retained, and supportive therapy was initiated. Outcomes: Two hours later, the patient's symptoms mitigated significantly and the ST segment returned to baseline. Four days later, echocardiography showed normal systolic function without wall motion abnormalities and the patient returned to the orthopedics ward for further treatment. Lessons: It is necessary for anesthetists to recognize TTS which is life-threatening during monitored anesthetic care (MAC). We highlight the importance of being alerted to the possibility of TTS when managing patients with thoracic vertebral fractures undergoing surgery under local anesthesia.

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Takotsubo syndrome is triggered by hypoactive delirium and recognized by increased catecholamine requirement in the ICU

Scorza,

Finsterer,

Scorza

2024

Clinics

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Takotsubo cardiomyopathy triggered by delirium tremens in a cirrhotic patient with acute-on-chronic liver failure: A case report

Cited by 3 publications

References 22 publications

A Comprehensive Review on Alcohol Abuse Disorder Fatality, from Alcohol Binges to Alcoholic Cardiomyopathy

A Comprehensive Review on Alcohol Abuse Disorder Fatality, from Alcohol Binges to Alcoholic Cardiomyopathy

Takotsubo syndrome triggered by change in position in a patient with thoracic vertebral fracture

Takotsubo syndrome is triggered by hypoactive delirium and recognized by increased catecholamine requirement in the ICU

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