Takotsubo Cardiomyopathy: Its Possible Impact during Adult Donor Care

Takotsubo cardiomyopathy, the syndrome caused by an extreme release and circulation of catecholamines, shares several histopathological and clinical similarities with cardiac changes after brain death noted in animal investigations and human observation. Overwhelming stimulation of myocardial inotro...

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Bibliographic Details
Published in:Progress in transplantation (Aliso Viejo, Calif.) Vol. 21; no. 4; pp. 344 - 349
Main Authors: Powner, David J., Truong, Hanh
Format: Journal Article
Language:English
Published: Los Angeles, CA SAGE Publications 01-12-2011
SAGE PUBLICATIONS, INC
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Summary:Takotsubo cardiomyopathy, the syndrome caused by an extreme release and circulation of catecholamines, shares several histopathological and clinical similarities with cardiac changes after brain death noted in animal investigations and human observation. Overwhelming stimulation of myocardial inotropic β receptors may alter their responsiveness and induce other biochemical processes, producing reduced cardiac contractility. Treatment methods in Takotsubo cardiomyopathy that use extracorporeal circulatory support and medications that do not rely on β-receptor stimulation and preemptive blockade of β receptors or calcium channels before brain death may be relevant to donor care.
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ISSN:1526-9248
2164-6708
DOI:10.1177/152692481102100415