The Swiss cheese model in takotsubo syndrome

Arcari, Luca; Musumeci, Maria Beatrice; Cacciotti, Luca

doi:10.1093/ehjcr/ytac235

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2024

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“…Additional risk factors for TCM include hormonal imbalance, genetic predisposition as well as psychiatric and neurological disorders with emotional and physi-cal triggers [10]. A Swiss cheese model by Arcari et al suggests these factors to be protective mechanisms, defects in which can trigger TCM [11]. The diagnosis of TCM is often challenging as it mimics an acute myocardial infarction in ECG and cardiac markers [12].…”

Section: Discussionmentioning

confidence: 99%

Post-operative Takotsubo Cardiomyopathy in Elective Mitral Valve Replacement

Potnis,

Potwar,

Jadhav

2024

Cardiovasc Med

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Takotsubo cardiomyopathy is a type of stress cardiomyopathy that is usually seen in postmenopausal patients and can be triggered by emotional stress, hypoglycemia, hypothyroidism, and surgery. A patient post cardiac surgery can present with multiple complications causing hemodynamic compromise. Hence, takotsubo cardiomyopathy remains a diagnostic dilemma. Here, we present an interesting electrocardiogram (ECG) of the same condition in a patient after mitral valve replacement with normal patent coronaries but presenting with anterolateral massive infarction with shark fin pattern in the ECG.

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Section: Discussionmentioning

confidence: 99%